Health For Life Clinic Pllc

LBN: Health For Life Clinic Pllc
Health For Life Clinic Pllc is an health care organization with primary practice located at 1100 N University Ave Ste 260, Little Rock AR 72207-6343. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Health For Life Clinic Pllc can be contacted via phone (501) 603-0003, or through Proctor, Tia via phone (501) 603-0003.

Contact Information

Primary practice address
1100 N University Ave Ste 260 Little Rock AR 72207-6343
Phone: (501) 603-0003
Fax: (501) 603-0030
Website:
Map and Directions
Authorized official contact:
Name: Proctor, Tia
Phone: (501) 603-0003

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X C4604 Arkansas

Profile Details

NPI number 1760736565
LBN Legal business name Health For Life Clinic Pllc
DBA Doing business as
Authorized official Proctor, Tia
Entity Organization
Organization subpart 1 No
Enumeration date Oct 31st, 2012
Last updated Oct 31st, 2012 - about 13 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 1760736565 NPPES
Arkansas MEDICAID 104422001

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