<Unavail>

LBN: Wake Forest Health Network Llc
<Unavail> is an health care organization with primary practice located at 1132 N Church St Ste 200 , Greensboro NC 27401-1040. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as the primary health care specialty. Wake Forest Health Network Llc can be contacted via phone (336) 379-9445, or through Greven, Craig Michael via phone (336) 716-1331.

Contact Information

Primary practice address
1132 N Church St Ste 200 Greensboro NC 27401-1040
Phone: (336) 379-9445
Fax: (336) 702-9323
Website:
Map and Directions
Authorized official contact:
Name: Greven, Craig Michael Doctor of Medicine (MD)
Phone: (336) 716-1331

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X

Profile Details

NPI number 1114293818
LBN Legal business name Wake Forest Health Network Llc
DBA Doing business as <Unavail>
Authorized official Greven, Craig Michael Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2012
Last updated Sep 25th, 2025 - about last year

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 1114293818 NPPES
North Carolina MEDICAID 1053351965

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