NORTHERN LIBERTIES WELLNESS GROUP NPI 1457737967

NPI Information

NPI: 1457737967
Provider Name: NORTHERN LIBERTIES WELLNESS GROUP
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
520 N COLUMBUS BLVD
SUITE 202
PHILADELPHIA, PA
ZIP 19123
Phone: (215) 239-3097
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NORTHERN LIBERTIES WELLNESS GROUP is a general practice in Philadelphia, PA. NORTHERN LIBERTIES WELLNESS GROUP NPI is 1457737967. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

520 N COLUMBUS BLVD
SUITE 202
PHILADELPHIA, PA
ZIP 19123-226
Phone: (215) 239-3097
Fax: (215) 239-3098

The provider's authorized official is Lolamarie Davis .
The authorized official title is Administrator and has the following contact phone number (215) 239-3096.

The enumeration date for this NPI number is 8/6/2015 and was last updated on 8/6/2015.

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
1	111NR0400X	Chiropractor	Rehabilitation	DC002363	PENNSYLVANIA	No
2	208D00000X	General Practice		OS011923	PENNSYLVANIA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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