National Provider Identifier Database

PONTCHARTRAIN MEDICAL GROUP A PROFESSIONAL CORPORATION
Addiction Medicine

A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine


Contact Information

PONTCHARTRAIN MEDICAL GROUP, A PROFESSIONAL CORPORATION
200 POWELL PL
ATTN: LEGAL DEPARTMENT
BRENTWOOD, TN37027-7514
Phone: 615-732-1605
Fax:
Website:
Specialty Taxonomy Code
* Addiction Medicine 2084A0401X
Addiction Medicine 207RA0401X

* Indicates primary specialty

NPI Profile & details for PONTCHARTRAIN MEDICAL GROUP, A PROFESSIONAL CORPORATION

NPI Number 1356704357
Legal business name
LBN
PONTCHARTRAIN MEDICAL GROUP, A PROFESSIONAL CORPORATION
Authorized official MARK CALARCO - (CEO)
Entity Organization
Organization subpart No
Enumeration date 03/29/2016
Last updated 08/25/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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