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COMPLETE WELLNESS INC NPI 1306443908


NPI Information

NPI: 1306443908
Provider Name: COMPLETE WELLNESS INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 18D2206684

Address:
25 JOSHUA LANE
HAWESVILLE, KY
ZIP 42348
Phone: (270) 927-1000
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COMPLETE WELLNESS INC is a family medicine in Hawesville, KY. 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. COMPLETE WELLNESS INC NPI is 1306443908. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

25 JOSHUA LANE
HAWESVILLE, KY
ZIP 42348
Phone: (270) 927-1000
Fax: (270) 927-1077

The provider's authorized official is Nicholas Adam Brockman .
The authorized official title is Owner and has the following contact phone number (270) 927-1000.

The CLIA number assigned to this NPI record is 18D2206684 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/6/2020 and was last updated on 10/6/2020.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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