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Contact Information

ELEMENTAL HEALTH CLINIC PLLC
5030 RANDALL PKWY
WILMINGTON, NC28403-2829
 Phone: 910-240-4757
 Fax:
 Website:
Indicates primary specialty

NPI Profile & details for ELEMENTAL HEALTH CLINIC PLLC

NPI # 1558015305
LBN Legal business name ELEMENTAL HEALTH CLINIC PLLC
Authorized official HAVAH HENZLER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/10/2022
Last updated 02/10/2022 - About 4 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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