National Provider Identifier Database

PEDIATRIC HEALTHCARE LLC
Children


Contact Information

PEDIATRIC HEALTHCARE, LLC
4700 WOODMERE BLVD
MONTGOMERY, AL36106-3065
Phone: 334-273-9700
Fax: 334-273-9788
Website:
Specialty Taxonomy Code
* Children 282NC2000X

* Indicates primary specialty

NPI Profile & details for PEDIATRIC HEALTHCARE, LLC

NPI Number 1437238474
Legal business name
LBN
PEDIATRIC HEALTHCARE, LLC
Authorized official MARTIN GLOVER - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 11/02/2006
Last updated 07/21/2022 - 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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