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] | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Internal Medicine |
207R00000X | 11 | Physician/Internal Medicine |
| NPI # | 1245884048 |
| LBN Legal business name | EPHPHATHA MEDICAL CARE SERVICES LLC |
| Authorized official | EMANIE DORIVAL - (NURSE PRACTITIONER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 07/30/2019 |
| Last updated | 09/26/2019 - About 7 years ago |
| Identifiers | n/a |
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EPHPHATHA MEDICAL CARE SERVICES LLC
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