| Specialty | Taxonomy Code | |
|---|---|---|
| * | Addiction Medicine | 207QA0401X |
| Adult Medicine | 207QA0505X | |
| Bariatric Medicine | 207QB0002X | |
| Non-Pharmacy Dispensing Site | 332900000X |
* Indicates primary specialty
| NPI Number | 1417486523 |
| Legal business name LBN |
INNOVATIVE MEDICINE |
| Authorized official | JACQUELINE SNYDER - (BILLING MANAGER) |
| Entity | Organization |
| Organization subpart | No |
| Enumeration date | 06/12/2017 |
| Last updated | 04/18/2024 - About 2 years ago |
| Sole proprietor1 | Not specified |
| Identifiers |
|
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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