A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Cardiovascular Disease |
207RC0000X | 11 | Physician/Internal Medicine | |
Physical Therapist |
225100000X | 65 | Physical Therapist in Private Practice | |
Podiatrist |
213E00000X | 48 | Podiatry | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry |
| NPI Number | 1245774041 |
| LBN Legal business name | HEALTHY CONNECTIONS SPECIALTY, LLC |
| Authorized official | SHANA BUSH - (CREDENTIALING SPECIALIST) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 12/13/2016 |
| Last updated | 05/13/2020 - About 6 years ago |
| Identifiers | n/a |
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