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 | |
Rehabilitation |
111NR0400X | 35 | Chiropractic |
| NPI # | 1669736120 |
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| LBN Legal business name | ELITE HEALTHCARE PHYSICAL MEDICINE | ||||||||||||
| Authorized official | RYAN WEBER - (OWNER) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 06/29/2012 | ||||||||||||
| Last updated | 06/29/2012 - About 14 years ago | ||||||||||||
| Identifiers |
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ELITE HEALTHCARE PHYSICAL MEDICINE
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