Pioneer Valley Weight And Wellness Centers
LBN: New England Center For Functional Medicine Pc
Pioneer Valley Weight And Wellness Centers is an health care organization with primary practice located at 2 Medical Center Dr Suite 202, Springfield MA 01107. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Obesity Medicine. Allopathic & Osteopathic Physicians / Obesity Medicine is the primary health care specialty.
New England Center For Functional Medicine Pc can be contacted via phone (413) 205-1200, or through Keroack, Christopher R via phone (413) 205-1200.
Contact Information
Primary practice address
2 Medical Center Dr Suite 202
Springfield MA 01107
Phone: (413) 205-1200
Fax: (413) 205-1220
Website:
Authorized official contact:
Name: Keroack, Christopher R Doctor of Medicine (MD)
Phone: (413) 205-1200
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Obesity Medicine | 207RB0002X |
Profile Details
| NPI number | 1730202938 |
|---|---|
| LBN Legal business name | New England Center For Functional Medicine Pc |
| DBA Doing business as | Pioneer Valley Weight And Wellness Centers |
| Authorized official | Keroack, Christopher R Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 10th, 2007 |
| Last updated | Nov 7th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730202938 | NPPES |
| Massachusetts | Other | M19415 | BCBS |
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