Wild Health At Proof Llc

LBN: Wild Health At Proof Llc
Wild Health At Proof Llc is an health care organization with primary practice located at 230 W Main St , Lexington KY 40507-1340. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Wild Health At Proof Llc can be contacted via phone (859) 309-4839, or through Dawson, Matthew via phone (859) 309-4839.

Contact Information

Primary practice address
230 W Main St Lexington KY 40507-1340
Phone: (859) 309-4839
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dawson, Matthew Doctor of Medicine (MD)
Phone: (859) 309-4839

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1588129035
LBN Legal business name Wild Health At Proof Llc
DBA Doing business as
Authorized official Dawson, Matthew Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 8th, 2019
Last updated Feb 11th, 2019 - about 7 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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