National Provider Identifier Database

OLD WELL MEDICINE PLLC
Medical Specialty

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).


Contact Information

OLD WELL MEDICINE, PLLC
5322 NC HIGHWAY 55 STE 102B
DURHAM, NC27713-7816
Phone: 919-944-4404
Fax:
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X
Endocrinology, Diabetes & Metabolism 207RE0101X
Health & Wellness Coach 171400000X
Infusion Therapy 261QI0500X
Internal Medicine 207R00000X
Naturopath 175F00000X
Non-Pharmacy Dispensing Site 332900000X
Nutritionist 133N00000X
Pharmacist 183500000X

* Indicates primary specialty

NPI Profile & details for OLD WELL MEDICINE, PLLC

NPI Number 1255898094
Legal business name
LBN
OLD WELL MEDICINE, PLLC
Authorized official AMIT PATEL - (MANAGER)
Entity Organization
Organization subpart No
Enumeration date 02/28/2019
Last updated 02/17/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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