Provider Demographics
NPI:1578332938
Name:SAME DAY HEALTHCARE & WELLNESS CENTER LLC
Entity Type:Organization
Organization Name:SAME DAY HEALTHCARE & WELLNESS CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN ASSISTANT/ CEO
Authorized Official - Prefix:
Authorized Official - First Name:DUSTAFF
Authorized Official - Middle Name:
Authorized Official - Last Name:PERSAUD
Authorized Official - Suffix:
Authorized Official - Credentials:EDD MBA PA-C
Authorized Official - Phone:917-592-3856
Mailing Address - Street 1:3500 OAKVIEW DR STE C
Mailing Address - Street 2:
Mailing Address - City:MUSCATINE
Mailing Address - State:IA
Mailing Address - Zip Code:52761-5807
Mailing Address - Country:US
Mailing Address - Phone:917-592-3856
Mailing Address - Fax:
Practice Address - Street 1:3500 OAKVIEW DR STE C
Practice Address - Street 2:
Practice Address - City:MUSCATINE
Practice Address - State:IA
Practice Address - Zip Code:52761-5807
Practice Address - Country:US
Practice Address - Phone:917-592-3856
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-27
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty