Winecoff Family Practice Pllc
LBN: Winecoff Family Practice Pllc
Winecoff Family Practice Pllc is an health care organization with primary practice located at 304 Winecoff School Rd , Concord NC 28027. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Winecoff Family Practice Pllc can be contacted via phone (704) 262-7901, or through Van Ravesteyn, Jan A via phone (704) 262-7901.
Contact Information
Primary practice address
304 Winecoff School Rd
Concord NC 28027
Phone: (704) 262-7901
Fax: (704) 262-7902
Website:
Authorized official contact:
Name: Van Ravesteyn, Jan A Doctor of Medicine (MD)
Phone: (704) 262-7901
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 9701631 | North Carolina |
Profile Details
| NPI number | 1770548745 |
|---|---|
| LBN Legal business name | Winecoff Family Practice Pllc |
| DBA Doing business as | |
| Authorized official | Van Ravesteyn, Jan A Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 20th, 2006 |
| Last updated | Aug 22nd, 2020 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770548745 | NPPES |
| North Carolina | Other | 1208V | BCBS |
| North Carolina | MEDICAID | 891208V | BCBS |
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