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FUNCTIONAL HEALTH LLC NPI 1922237536


NPI Information

NPI: 1922237536
Provider Name: FUNCTIONAL HEALTH, LLC

Doing Business As: MIDWEST SKIN INSTITUTE

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
8601 N KENTUCKY AVE
SUITE I
EVANSVILLE, IN
ZIP 47725
Phone: (812) 491-6772
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FUNCTIONAL HEALTH, LLC is a primary care clinic center in Evansville, IN. FUNCTIONAL HEALTH, LLC NPI is 1922237536. The provider is registered as an organization entity type.
The provider Is Doing Business As Midwest Skin Institute.

The provider's business location address is:

8601 N KENTUCKY AVE
SUITE I
EVANSVILLE, IN
ZIP 47725-371
Phone: (812) 491-6772
Fax: (812) 491-0758

The provider's authorized official is Stacey Kahre .
The authorized official title is Co-owner and has the following contact phone number (812) 491-6772.

The enumeration date for this NPI number is 7/6/2009 and was last updated on 7/6/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary Care71001222AINDIANAYes

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: 4/28/2024

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