A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Diagnostic Radiology | 2085R0202X |
| Physiological Laboratory, (Independent Physiological Lab) | 293D00000X |
* Indicates primary specialty
| NPI Number | 1902264971 |
| Legal business name LBN |
PROVIDENCE PHYSICIAN PRACTICES LLC |
| Authorized official | JESS JUDY - (PRESIDENT) |
| Entity | Organization |
| Organization subpart | No |
| Enumeration date | 02/05/2016 |
| Last updated | 02/05/2016 - About 10 years ago |
| Sole proprietor1 | Not specified |
| Identifiers | n/a |
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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