| Specialty | Taxonomy Code | |
|---|---|---|
| * | Urgent Care | 261QU0200X |
| Primary Care | 261QP2300X |
* Indicates primary specialty
| NPI Number | 1396022034 |
| Legal business name LBN |
MAIN STREET CLINIC, LLC |
| Authorized official | LAURA CUMMINGS - (OWNER, PROVIDER) |
| Entity | Organization |
| Organization subpart | No |
| Enumeration date | 11/09/2011 |
| Last updated | 11/23/2011 - About 15 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.
There are currently no reviews for MAIN STREET CLINIC, LLC