Provider Demographics
NPI:1639889850
Name:SYNERGY HEALTHCARE USA LLC
Entity Type:Organization
Organization Name:SYNERGY HEALTHCARE USA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:
Authorized Official - Last Name:QUEEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:980-505-8401
Mailing Address - Street 1:PO BOX 1069
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:NC
Mailing Address - Zip Code:28037-1069
Mailing Address - Country:US
Mailing Address - Phone:980-505-8401
Mailing Address - Fax:
Practice Address - Street 1:245 PARKWAY E
Practice Address - Street 2:
Practice Address - City:DUNCAN
Practice Address - State:SC
Practice Address - Zip Code:29334-9489
Practice Address - Country:US
Practice Address - Phone:980-505-8401
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-29
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
1065OtherONSITE EMPLOYEE WELLNESS