National Provider Identifier Database

AVANTE GARDE HEALTH CENTERS LLC
Primary Care


Contact Information

AVANTE GARDE HEALTH CENTERS, LLC
72 JOE T PETTEY DR
SUITE B
RUSSELL SPRINGS, KY42642
Phone: 270-866-4357
Fax: 270-858-4957
Website:
Specialty Taxonomy Code
* Primary Care 261QP2300X

* Indicates primary specialty

NPI Profile & details for AVANTE GARDE HEALTH CENTERS, LLC

NPI Number 1407125016
Legal business name
LBN
AVANTE GARDE HEALTH CENTERS, LLC
Authorized official ANGELA CUNDIFF-ROY - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 12/28/2011
Last updated 12/28/2011 - About 14 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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