Initia Nova Llc
LBN: Initia Nova Llc
Initia Nova Llc is an health care organization with primary practice located at 1930 Marlton Pike E Ste H42 , Cherry Hill NJ 08003-4104. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Other Service Providers / Specialist is the primary health care specialty.
Initia Nova Llc can be contacted via phone (856) 425-2942, or through Sullivan, Patrick O via phone (856) 625-8563.
Contact Information
Primary practice address
1930 Marlton Pike E Ste H42
Cherry Hill NJ 08003-4104
Phone: (856) 425-2942
Fax:
Website:
Authorized official contact:
Name: Sullivan, Patrick O Doctor of Osteopathy (DO)
Phone: (856) 625-8563
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | New Jersey | |
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | 37F100176500 | New Jersey |
Profile Details
| NPI number | 1013461243 |
|---|---|
| LBN Legal business name | Initia Nova Llc |
| DBA Doing business as | |
| Authorized official | Sullivan, Patrick O Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 4th, 2016 |
| Last updated | Aug 4th, 2016 - about 8 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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