Provider Demographics
NPI:1003225343
Name:APPLE MEDICAL CLINIC LLC
Entity Type:Organization
Organization Name:APPLE MEDICAL CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:PASTERNACK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-545-7891
Mailing Address - Street 1:609 CEDAR CREEK GRADE
Mailing Address - Street 2:SUITE B
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-2721
Mailing Address - Country:US
Mailing Address - Phone:540-545-7891
Mailing Address - Fax:540-545-7893
Practice Address - Street 1:609 CEDAR CREEK GRADE
Practice Address - Street 2:SUITE B
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-2721
Practice Address - Country:US
Practice Address - Phone:540-545-7891
Practice Address - Fax:540-545-7893
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-12
Last Update Date:2014-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty