A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Clinical Genetics (M.D.) | 207SG0201X |
| Clinical Molecular Genetics | 207SG0203X |
* Indicates primary specialty
| NPI Number | 1679634612 |
| Legal business name LBN |
PROVIDENT HEALTH SERVICES, INC. |
| Authorized official | ROBIN MADDOX - (PROVIDER ENROLLMENT COORDINATOR) |
| Entity | Organization |
| Organization subpart | No |
| Enumeration date | 12/13/2006 |
| Last updated | 11/12/2007 - About 19 years ago |
| Sole proprietor1 | Not specified |
| Identifiers |
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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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