Provider Demographics
NPI:1700294808
Name:NVH NC, PC
Entity Type:Organization
Organization Name:NVH NC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BELLAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:99999-999-9999
Mailing Address - Street 1:PO BOX 743147
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-3147
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1875 NW CORPORATE BLVD
Practice Address - Street 2:SUITE 260
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-8542
Practice Address - Country:US
Practice Address - Phone:561-299-3667
Practice Address - Fax:561-299-3670
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-01
Last Update Date:2015-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty