ACTIVE ORTHOPEDIC HEALTH AND WELLNESS LLC; NPI #1134876329

Contact Information

ACTIVE ORTHOPEDIC HEALTH AND WELLNESS LLC

4117 PLANK RD
FREDERICKSBURG, VA 22407-4888

Phone: 540-785-8018
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Medical	363AM0700X	97	Physician Assistant

Indicates primary specialty

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NPI Profile & details for ACTIVE ORTHOPEDIC HEALTH AND WELLNESS LLC

NPI Number	`1134876329`
LBN Legal business name	ACTIVE ORTHOPEDIC HEALTH AND WELLNESS LLC
Authorized official	JOSEPH GOWATY - (CLINIC DIRECTOR)
Entity	Organization
Organization subpart ¹	No
Enumeration date	03/07/2022
Last updated	03/07/2022 - About 4 years ago
Identifiers	n/a

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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ACTIVE ORTHOPEDIC HEALTH AND WELLNESS LLC

Contact Information

Specialty

Medical

NPI Profile & details for ACTIVE ORTHOPEDIC HEALTH AND WELLNESS LLC

Reviews for ACTIVE ORTHOPEDIC HEALTH AND WELLNESS LLC