Pura Vida Health Institute Llc
LBN: Pura Vida Health Institute Llc
Pura Vida Health Institute Llc is an health care organization with primary practice located at 215 Sugartown Rd , Wayne PA 19087-3137. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty.
Pura Vida Health Institute Llc can be contacted via phone (215) 806-6270, or through Mulholland, Christopher via phone (215) 806-6270.
Contact Information
Primary practice address
215 Sugartown Rd
Wayne PA 19087-3137
Phone: (215) 806-6270
Fax:
Website:
Authorized official contact:
Name: Mulholland, Christopher Doctor of Osteopathy (DO)
Phone: (215) 806-6270
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | ||
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X |
Profile Details
| NPI number | 1588315865 |
|---|---|
| LBN Legal business name | Pura Vida Health Institute Llc |
| DBA Doing business as | |
| Authorized official | Mulholland, Christopher Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 18th, 2022 |
| Last updated | Jul 8th, 2022 - about 3 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 | 1588315865 | NPPES |
| Pennsylvania | Other | OS020055 | PENNSYLVANIA DEPARTMENT OF STATE - PROFESSIONAL LICENSING BOARD |
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