Age Reversal Technologies

LBN: Age Reversal Technologies
Age Reversal Technologies is an health care organization with primary practice located at 2600 N Woodlawn Blvd , Wichita KS 67220-2729. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Age Reversal Technologies can be contacted via phone (316) 640-6253, or through Shaw, Michael N via phone (316) 640-6253.

Contact Information

Primary practice address
2600 N Woodlawn Blvd Wichita KS 67220-2729
Phone: (316) 640-6253
Fax: (316) 858-2523
Website:
Map and Directions
Authorized official contact:
Name: Shaw, Michael N Physician Assistant (PA)
Phone: (316) 640-6253

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 15-00115 Kansas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 15-00115 Kansas

Profile Details

NPI number 1841594892
LBN Legal business name Age Reversal Technologies
DBA Doing business as
Authorized official Shaw, Michael N Physician Assistant (PA)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 5th, 2011
Last updated Sep 30th, 2011 - about 14 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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