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AFFINITY FAMILY HEALTH AND WELLNESS, PLLC

Family

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Contact Information

AFFINITY FAMILY HEALTH AND WELLNESS, PLLC
1108 N EAST ST
OLNEY, IL  62450-2462
 Phone: 618-429-9470
 Fax: 833-944-2035
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Family

 363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for AFFINITY FAMILY HEALTH AND WELLNESS, PLLC

NPI Number 1568938090
LBN Legal business name AFFINITY FAMILY HEALTH AND WELLNESS, PLLC
Authorized official JAMEE BALTZELL - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/23/2018
Last updated 12/22/2022 - About 3 years ago
Identifiers
IL Medicaid 0001568938090
IL Medicaid 325765630001
IL Medicaid 351725028001
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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