Lifewise Physical Medicine Center, Llc

LBN: Lifewise Physical Medicine Center, Llc
Lifewise Physical Medicine Center, Llc is an health care organization with primary practice located at 4633 Brambleton Ave , Roanoke VA 24018-3410. The organization recently has only one registered license in Chiropractic Providers / Rehabilitation, which is considered as the primary health care specialty. Lifewise Physical Medicine Center, Llc can be contacted via phone (540) 400-7733, or through Travis, Rhett via phone (540) 400-7733.

Contact Information

Primary practice address
4633 Brambleton Ave Roanoke VA 24018-3410
Phone: (540) 400-7733
Fax: (540) 904-6009
Website:
Map and Directions
Authorized official contact:
Name: Travis, Rhett Doctor of Chiropractic (DC)
Phone: (540) 400-7733

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Rehabilitation 111NR0400X 0104001882 Virginia

Profile Details

NPI number 1689844524
LBN Legal business name Lifewise Physical Medicine Center, Llc
DBA Doing business as
Authorized official Travis, Rhett Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 6th, 2008
Last updated Nov 6th, 2008 - about 16 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 1689844524 NPPES
Virginia Other 346267 ANTHEM
Virginia Other 346268 ANTHEM
Virginia Other 1508935362 ANTHEM

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