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Contact Information

LIFE CHANGE HEALTH P.C.
497 BUSHKILL PLAZA LN STE B
WIND GAP, PA18091
 Phone: 610-863-6767
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for LIFE CHANGE HEALTH PC · (Female)

NPI # 1306332473
Status Active
Credentials
Entity Individual
Enumeration date 07/02/2018
Last updated 07/02/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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