Prohealth Integrated Medical
LBN: Prohealth Integrated Medical
Prohealth Integrated Medical is an health care organization with primary practice located at 1431 Riverside Pkwy , Lawrenceville GA 30043-5946. The organization recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Other Service Providers / Legal Medicine. Other Service Providers / Legal Medicine is the primary health care specialty.
Prohealth Integrated Medical can be contacted via phone (770) 513-0111, or through Willis, Christopher P via phone (770) 513-0111.
Contact Information
Primary practice address
1431 Riverside Pkwy
Lawrenceville GA 30043-5946
Phone: (770) 513-0111
Fax: (770) 513-3731
Website:
Authorized official contact:
Name: Willis, Christopher P Doctor of Chiropractic (DC)
Phone: (770) 513-0111
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CHIR005026 | Georgia |
| Other Service Providers / Legal Medicine | 173000000X | 016356 | Georgia |
Profile Details
| NPI number | 1588782346 |
|---|---|
| LBN Legal business name | Prohealth Integrated Medical |
| DBA Doing business as | |
| Authorized official | Willis, Christopher P Doctor of Chiropractic (DC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 27th, 2007 |
| Last updated | Nov 8th, 2010 - about 14 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 | 1588782346 | NPPES |
| Georgia | Other | 1841244175 | NPI NUMBER |
| Georgia | Other | 1841233905 | NPI NUMBER |
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