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Contact Information

PHOENIX WELLNESS AND PHYSICAL RESTORATION CENTER, PLLC
1124 KENNEBEC DRIVE
CHAMBERSBURG, PA17201
 Phone: 717-263-8919
 Fax: 717-263-2655
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for PHOENIX WELLNESS AND PHYSICAL RESTORATION CENTER, PLLC

NPI Number 1659699510
LBN Legal business name PHOENIX WELLNESS AND PHYSICAL RESTORATION CENTER, PLLC
Authorized official SHARI MYERS - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/17/2010
Last updated 01/06/2011 - About 15 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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