Main Line Wellness Llc
LBN: Main Line Wellness Llc
Main Line Wellness Llc is an health care organization with primary practice located at 700 S Henderson Rd Ste 308C , King Of Prussia PA 19406-4206. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Main Line Wellness Llc can be contacted via phone (610) 337-3111, or through Lerman, Roy via phone (610) 337-3111.
Contact Information
Primary practice address
700 S Henderson Rd Ste 308C
King Of Prussia PA 19406-4206
Phone: (610) 337-3111
Fax: (610) 233-1272
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X |
Profile Details
| NPI number | 1093357923 |
|---|---|
| LBN Legal business name | Main Line Wellness Llc |
| DBA Doing business as | |
| Authorized official | Lerman, Roy Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Oct 11th, 2019 |
| Last updated | Oct 11th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093357923 | NPPES |
| Pennsylvania | Other | 1234567 | STARTING CREDENTIALING PROCESS |
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