| Specialty | Taxonomy Code | |
|---|---|---|
| * | Student Health | 261QS1000X |
| Diagnostic Radiology | 2085R0202X | |
| Family Medicine | 207Q00000X | |
| Occupational Medicine | 2083X0100X | |
| Public Health & General Preventive Medicine | 2083P0901X |
* Indicates primary specialty
| NPI Number | 1174803027 |
| Legal business name LBN |
HEALTH AND EDUCATION BUILDING |
| Authorized official | ANDREA RUMBLE - (PROVIDER ENROLLMENT SPECIALIST) |
| Entity | Organization |
| Organization subpart | Yes |
| Enumeration date | 08/24/2011 |
| Last updated | 05/22/2014 - About 12 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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