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Contact Information

OPTIMA NATURAL HEALTH & WELLNESS, LLC
1320 2ND AVE
CUMBERLAND, WI54829
 Phone: 715-822-2500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for OPTIMA NATURAL HEALTH & WELLNESS, LLC

NPI Number 1497082663
LBN Legal business name OPTIMA NATURAL HEALTH & WELLNESS, LLC
Authorized official VICTORIA KES - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/10/2009
Last updated 11/10/2009 - About 17 years ago
Identifiers
WI License # 4251-012
WI Medicaid 38186000
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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