National Provider Identifier Database

FAITH FAMILY WELLNESS CLINIC PLLC
Rural Health


Contact Information

FAITH FAMILY WELLNESS CLINIC, PLLC
2012 N MAIN ST
SHELBYVILLE, TN37160-2022
Phone: 931-492-5290
Fax: 931-492-5292
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X
Primary Care 363LP2300X

* Indicates primary specialty

NPI Profile & details for FAITH FAMILY WELLNESS CLINIC, PLLC

NPI Number 1184107302
Legal business name
LBN
FAITH FAMILY WELLNESS CLINIC, PLLC
Authorized official KRISTIN MCBAY - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 09/13/2018
Last updated 07/26/2022 - About 4 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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