Haverford Wellness Center

LBN: Domenick Braccia D.O.
Haverford Wellness Center is an health care organization with primary practice located at 2010 W Chester Pike Suite 310, Havertown PA 19083-2700. The organization recently has 5 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Health Service, Ambulatory Health Care Facilities / Infusion Therapy, Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Medical Specialty, Ambulatory Health Care Facilities / Pain. Ambulatory Health Care Facilities / Medical Specialty is the primary health care specialty. Domenick Braccia D.O. can be contacted via phone (610) 924-0600, or through Braccia, Domenick via phone (610) 924-0600.

Contact Information

Primary practice address
2010 W Chester Pike Suite 310 Havertown PA 19083-2700
Phone: (610) 924-0600
Fax: (610) 924-0627
Website:
Map and Directions
Authorized official contact:
Name: Braccia, Domenick Doctor of Osteopathy (DO)
Phone: (610) 924-0600

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X OS006737L Pennsylvania
Ambulatory Health Care Facilities / Infusion Therapy 261QI0500X OS006737L Pennsylvania
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X OS006737L Pennsylvania
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X OS006737L Pennsylvania
Ambulatory Health Care Facilities / Pain 261QP3300X OS006737L Pennsylvania

Profile Details

NPI number 1952542615
LBN Legal business name Domenick Braccia D.O.
DBA Doing business as Haverford Wellness Center
Authorized official Braccia, Domenick Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 10th, 2009
Last updated May 13th, 2009 - about 15 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 1952542615 NPPES
Pennsylvania MEDICAID 0012371310008
Pennsylvania Other 1794675
Pennsylvania Other 648523

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