Organization Name: | WHOLENESS IN HEALTH HOUSE-CALL CLINIC LLC |
NPI Number: | 1336387257 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARGIT ELISABETH GROESSLER (FAMILY NURSE PRACTITIONER) |
Mailing Address: | 37926 Mt Highway 35 Polson |
State: | MT US |
Postal Code: | 598607746 |
Phone Number: | 4062615019 |
Fax Number: | 4068836465 |
NPI Enumeration Date: | 01/30/2009 |
NPI Last Update Date: | 01/30/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | 21794 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |