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Contact Information

INDWELL HEALTH AND WELLNESS.LLC
1019A VISTA PARK DR
FOREST, VA24551-4901
 Phone: 434-515-0419
 Fax: 844-693-9305
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Allergy & Immunology

207K00000X 03 Physician/Allergy/ Immunology
 

Pediatric Allergy/Immunology

2080P0201X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for INDWELL HEALTH AND WELLNESSLLC · (Female)

NPI Number 1689119646
Status Active
Credentials
Entity Individual
Enumeration date 12/30/2016
Last updated 04/12/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • VA License # 0101056392
  • VA Medicaid 5804426
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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