Lookup NPI Numbers from the NPI Registry
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Diabetes Educator |
163WD0400X | |||
Registered Nurse |
163W00000X |
| NPI # | 1417582503 |
| LBN Legal business name | SELF REGIONAL HEALTHCARE |
| Authorized official | MATTHEW LOGAN - (PRESIDENT AND CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 03/09/2020 |
| Last updated | 12/14/2021 - About 4 years ago |
| Identifiers | n/a |
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SELF REGIONAL HEALTHCARE
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SELF REGIONAL HEALTHCARE