Affinity Family Health And Wellness, Pllc

LBN: Affinity Family Health And Wellness, Pllc
Affinity Family Health And Wellness, Pllc is an health care organization with primary practice located at 1108 N East St , Olney IL 62450-2462. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. Affinity Family Health And Wellness, Pllc can be contacted via phone (618) 429-9470, or through Baltzell, Jamee S via phone (618) 429-9470.

Contact Information

Primary practice address
1108 N East St Olney IL 62450-2462
Phone: (618) 429-9470
Fax: (833) 944-2035
Website:
Map and Directions
Authorized official contact:
Name: Baltzell, Jamee S Advanced Practice Registered Nurse (APRN)
Phone: (618) 429-9470

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1568938090
LBN Legal business name Affinity Family Health And Wellness, Pllc
DBA Doing business as
Authorized official Baltzell, Jamee S Advanced Practice Registered Nurse (APRN)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 23rd, 2018
Last updated Dec 22nd, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568938090 NPPES
Illinois MEDICAID 0001568938090
Illinois MEDICAID 325765630001
Illinois MEDICAID 351725028001

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