Headache Wellness Center Pc
LBN: Headache Wellness Center Pc
Headache Wellness Center Pc is an health care organization with primary practice located at 1414 Yanceyville Street First Floor, Greensboro NC 27405-6930. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty.
Headache Wellness Center Pc can be contacted via phone (336) 574-8000, or through Freeman, Marshall C via phone (336) 574-8000.
Contact Information
Primary practice address
1414 Yanceyville Street First Floor
Greensboro NC 27405-6930
Phone: (336) 574-8000
Fax: (336) 574-8008
Website:
Authorized official contact:
Name: Freeman, Marshall C Doctor of Medicine (MD)
Phone: (336) 574-8000
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 84461 | North Carolina |
Profile Details
| NPI number | 1649236845 |
|---|---|
| LBN Legal business name | Headache Wellness Center Pc |
| DBA Doing business as | |
| Authorized official | Freeman, Marshall C Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Aug 1st, 2007 - about 19 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 | 1649236845 | NPPES |
| North Carolina | Other | 0101N | BCBSNC ID |
| North Carolina | MEDICAID | 89015YM | BCBSNC ID |
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