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Contact Information

INFINITY LIFESTYLE MEDICINE
2115 W 38TH ST
ERIE, PA16508-1925
 Phone: 814-304-8560
 Fax: 814-352-9022
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Specialty

261QM2500X
Indicates primary specialty

NPI Profile & details for INFINITY LIFESTYLE MEDICINE

NPI Number 1356163752
LBN Legal business name INFINITY LIFESTYLE MEDICINE
Authorized official JUSTIN SCHOLL - (CHIEF OPERATING OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/28/2024
Last updated 10/28/2024 - More than a year 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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