Provider Demographics
NPI:1194009902
Name:DREAM2, LLC
Entity Type:Organization
Organization Name:DREAM2, LLC
Other - Org Name:PHYSICIANS WEIGHT LOSS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DARLENE
Authorized Official - Middle Name:R
Authorized Official - Last Name:ELCHERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-422-3438
Mailing Address - Street 1:1433 E SANDUSKY ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-6456
Mailing Address - Country:US
Mailing Address - Phone:419-422-4295
Mailing Address - Fax:419-422-4595
Practice Address - Street 1:1433 E SANDUSKY ST
Practice Address - Street 2:SUITE A
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-6456
Practice Address - Country:US
Practice Address - Phone:419-422-4295
Practice Address - Fax:419-422-4595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-29
Last Update Date:2011-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty