Full Life Regeneration, Pc

LBN: Full Life Regeneration, Pc
Full Life Regeneration, Pc is an health care organization with primary practice located at 117 Renaissance St , Florence AL 35630-1207. The organization recently has 4 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Allopathic & Osteopathic Physicians / Family Medicine, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Ambulatory Health Care Facilities / Multi-Specialty. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty. Full Life Regeneration, Pc can be contacted via phone (256) 765-0002, or through Melson, Tyler via phone (256) 765-0002.

Contact Information

Primary practice address
117 Renaissance St Florence AL 35630-1207
Phone: (256) 765-0002
Fax: (256) 765-0022
Website:
Map and Directions
Authorized official contact:
Name: Melson, Tyler Doctor of Osteopathy (DO)
Phone: (256) 765-0002

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1609464395
LBN Legal business name Full Life Regeneration, Pc
DBA Doing business as
Authorized official Melson, Tyler Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 7th, 2021
Last updated May 26th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609464395 NPPES
Alabama Other 1769 LICENSE

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