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Contact Information

SYNERGY WELLNESS CENTER LLC
3600 RODEO LN
5B
SANTA FE, NM87507-6400
 Phone: 505-292-9700
 Fax: 505-867-2566
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Podiatric Medicine

213EP1101X 48 Podiatry
Indicates primary specialty

NPI Profile & details for SYNERGY WELLNESS CENTER LLC

NPI # 1982930160
LBN Legal business name SYNERGY WELLNESS CENTER LLC
Authorized official GLORIA GERSTNER - (PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 10/23/2009
Last updated 09/24/2010 - About 16 years ago
Identifiers
NM License # 307
NM Medicaid 10007865
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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