Proactive Physical Medicine, Llc

LBN: Proactive Physical Medicine, Llc
Proactive Physical Medicine, Llc is an health care organization with primary practice located at 1331 E Wyoming Ave Suite 1100, Philadelphia PA 19124-3808. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Proactive Physical Medicine, Llc can be contacted via phone (215) 744-4030, or through Quell, Aileen via phone (215) 321-3538.

Contact Information

Primary practice address
1331 E Wyoming Ave Suite 1100 Philadelphia PA 19124-3808
Phone: (215) 744-4030
Fax: (215) 744-4582
Website:
Map and Directions
Authorized official contact:
Name: Quell, Aileen
Phone: (215) 321-3538

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X

Profile Details

NPI number 1437349131
LBN Legal business name Proactive Physical Medicine, Llc
DBA Doing business as
Authorized official Quell, Aileen
Entity Organization
Organization subpart 1 No
Enumeration date Jul 29th, 2007
Last updated Sep 1st, 2009 - about 15 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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