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Contact Information

PRIMELIFE HEALTH AND WELLNESS
888 THACKERAY TRL STE 103
OCONOMOWOC, WI53066-4342
 Phone: 866-329-4264
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Integrative Medicine

202D00000X
 

Obesity Medicine

2083B0002X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for PRIMELIFE HEALTH AND WELLNESS · (Female)

NPI # 1265230601
Status Active
Credentials
Entity Individual
Enumeration date 03/03/2025
Last updated 03/03/2025 - More than a year 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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