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] | |
Chiropractor |
111N00000X | 35 | Chiropractic | |
Preventive Medicine/Occupational-Environmental Medicine |
2083P0500X | 84 | Physician/Preventive Medicine |
| NPI # | 1689095895 |
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| LBN Legal business name | CORE HEALTH, LLC | ||||||||
| Authorized official | JASON MOSS - (OWNER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 12/16/2013 | ||||||||
| Last updated | 04/11/2014 - About 12 years ago | ||||||||
| Identifiers |
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CORE HEALTH, LLC
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