FIRST LIGHT LIFESTYLE MEDICAL CLINIC PLLC NPI 1801512819

NPI Information

NPI: 1801512819
Provider Name: FIRST LIGHT LIFESTYLE MEDICAL CLINIC PLLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
30 7TH ST W STE LL-50
DICKINSON, ND
ZIP 58601
Phone: (701) 483-6974
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FIRST LIGHT LIFESTYLE MEDICAL CLINIC PLLC is a family medicine in Dickinson, ND. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. FIRST LIGHT LIFESTYLE MEDICAL CLINIC PLLC NPI is 1801512819. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

30 7TH ST W STE LL-50
DICKINSON, ND
ZIP 58601-335
Phone: (701) 483-6974

The provider's authorized official is Volney Willett .
The authorized official title is President and has the following contact phone number (701) 483-6974.

The enumeration date for this NPI number is 10/12/2022 and was last updated on 10/12/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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