Life Enhancement Medical Services Pllc

LBN: Life Enhancement Medical Services Pllc
Life Enhancement Medical Services Pllc is an health care organization with primary practice located at 190 Commerce Blvd , Statesville NC 28625-8526. 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 / Internal Medicine is the primary health care specialty. Life Enhancement Medical Services Pllc can be contacted via phone (704) 838-0516, or through Pavelock, Richard via phone (704) 838-0516.

Contact Information

Primary practice address
190 Commerce Blvd Statesville NC 28625-8526
Phone: (704) 838-0516
Fax: (704) 838-0565
Website:
Map and Directions
Authorized official contact:
Name: Pavelock, Richard Doctor of Medicine (MD)
Phone: (704) 838-0516

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1124046198
LBN Legal business name Life Enhancement Medical Services Pllc
DBA Doing business as
Authorized official Pavelock, Richard Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2006
Last updated Apr 19th, 2017 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1124046198 NPPES
North Carolina MEDICAID 5904288

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