| Specialty | Taxonomy Code | |
|---|---|---|
| * | Student Health | 261QS1000X |
* Indicates primary specialty
| NPI Number | 1790100170 |
| Legal business name LBN |
WELLSTAR MEDICAL GROUP, LLC |
| Authorized official | NICOLE ASHE - (EXECUTIVE DIRECTOR OF FINANCE) |
| Entity | Organization |
| Organization subpart | Yes |
| Enumeration date | 02/21/2014 |
| Last updated | 05/27/2015 - About 11 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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