NPI Lookup
NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

1150 MAIN STREET INC
1150 MAIN ST STE 3
WATSONVILLE, CA95076-3760
 Phone: 831-728-0551
 Fax: 831-728-3679
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for 1150 MAIN STREET INC

NPI Number 1912347261
LBN Legal business name 1150 MAIN STREET INC
Authorized official SHIRLEY DICKINSON - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/01/2013
Last updated 07/01/2013 - About 6 years ago
Identifiers
CA License # G56281
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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