Vip Healthcare, Pllc | |
294 Highway 16 N Suite C Denver NC 28037 | |
(704) 489-2401 | |
(704) 228-0009 |
Full Name | Vip Healthcare, Pllc |
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Speciality | Internal Medicine |
Location | 294 Highway 16 N, Denver, North Carolina |
Authorized Official Name and Position | Rodney Redelsperger (OWNER) |
Authorized Official Contact | 7044892401 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Vip Healthcare, Pllc 294 Highway 16 N Suite C Denver NC 28037 Ph: (704) 489-2401 | Vip Healthcare, Pllc 294 Highway 16 N Suite C Denver NC 28037 Ph: (704) 489-2401 |
NPI Number | 1649786716 |
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Provider Enumeration Date | 12/27/2017 |
Last Update Date | 12/27/2017 |
Medicare PECOS PAC ID | 0840553962 |
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Medicare Enrollment ID | O20180424000599 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649786716 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 200200785 (North Carolina) | Primary |
Provider Name | Rodney L Redelsperger |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1689668261 PECOS PAC ID: 8426099540 Enrollment ID: I20050606001097 |
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