Live Young Medical Llc

LBN: Live Young Medical Llc
Live Young Medical Llc is an health care organization with primary practice located at 112 Gaul Dr , Sergeant Bluff IA 51054-8963. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is the primary health care specialty. Live Young Medical Llc can be contacted via phone (402) 681-8662, or through Bonham, Matthew James via phone (402) 681-4829.

Contact Information

Primary practice address
112 Gaul Dr Sergeant Bluff IA 51054-8963
Phone: (402) 681-8662
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bonham, Matthew James
Phone: (402) 681-4829

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1306684295
LBN Legal business name Live Young Medical Llc
DBA Doing business as
Authorized official Bonham, Matthew James
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2024
Last updated Jul 16th, 2024 - about 2 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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