Canon Professional Wellness Clinic Llc

LBN: Canon Professional Wellness Clinic Llc
Canon Professional Wellness Clinic Llc is an health care organization with primary practice located at 730 Macon Ave , Canon City CO 81212-3314. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Family Planning, Non-Surgical, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is the primary health care specialty. Canon Professional Wellness Clinic Llc can be contacted via phone (719) 275-1618, or through Nelson, Leslie via phone (719) 285-5019.

Contact Information

Primary practice address
730 Macon Ave Canon City CO 81212-3314
Phone: (719) 275-1618
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nelson, Leslie Advanced Practice Nurse (APN)
Phone: (719) 285-5019

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Family Planning, Non-Surgical 261QF0050X
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X

Profile Details

NPI number 1780384560
LBN Legal business name Canon Professional Wellness Clinic Llc
DBA Doing business as
Authorized official Nelson, Leslie Advanced Practice Nurse (APN)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 9th, 2023
Last updated Feb 19th, 2024 - about 10 months 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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