Provider Demographics
NPI:1073985347
Name:RHEMA MEDICAL AND WELLNESS CENTER LLC
Entity Type:Organization
Organization Name:RHEMA MEDICAL AND WELLNESS CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LIVIA
Authorized Official - Middle Name:K
Authorized Official - Last Name:BAUBLITZ
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:717-609-1009
Mailing Address - Street 1:1392 HARRISBURG PIKE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-2613
Mailing Address - Country:US
Mailing Address - Phone:717-609-1009
Mailing Address - Fax:717-609-1013
Practice Address - Street 1:1392 HARRISBURG PIKE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-2613
Practice Address - Country:US
Practice Address - Phone:717-609-1009
Practice Address - Fax:717-609-1013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-27
Last Update Date:2017-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS013041208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty