PIVOT CONCIERGE HEALTH LLC NPI 1891251898

NPI Information

PIVOT CONCIERGE HEALTH, LLC is a family medicine in Omaha, NE. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PIVOT CONCIERGE HEALTH, LLC NPI is 1891251898. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Total Male Wellness, Llc.

The provider's business location address is:

2801 S 88TH ST
OMAHA, NE
ZIP 68124-056
Phone: (402) 885-8125
Fax: (402) 625-0578

The provider's authorized official is Anthony Buda .
The authorized official title is Owner and has the following contact phone number (402) 350-1024.

The CLIA number assigned to this NPI record is 28D2171939 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/14/2019 and was last updated on 2/18/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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