National Provider Identifier Database

INDWELL HEALTH AND WELLNESSLLC
Allergy & Immunology

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.


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
* Allergy & Immunology 207K00000X
Pediatric Allergy/Immunology 2080P0201X
Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for INDWELL HEALTH AND WELLNESS.LLC

NPI Number 1689119646
Legal business name
LBN
INDWELL HEALTH AND WELLNESS.LLC
Authorized official LUIS MATOS - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 12/30/2016
Last updated 04/12/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • VA License #: 0101056392
  • VA Medicaid: 5804426

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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