National Provider Identifier Database

ADVANCED FUNCTIONAL HEALTH AND WELLNESS LLC
Family


Contact Information

ADVANCED FUNCTIONAL HEALTH AND WELLNESS, LLC.
1003 W 7TH ST STE B
FREDERICK, MD21701-4153
Phone: 301-966-2558
Fax:
Website:
Specialty Taxonomy Code
* Family 363LF0000X
Health Service 261QH0100X

* Indicates primary specialty

NPI Profile & details for ADVANCED FUNCTIONAL HEALTH AND WELLNESS, LLC.

NPI Number 1366031973
Legal business name
LBN
ADVANCED FUNCTIONAL HEALTH AND WELLNESS, LLC.
Authorized official LOUIS GBONE - (MANAGER)
Entity Organization
Organization subpart No
Enumeration date 01/18/2021
Last updated 01/24/2023 - About 3 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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