Organization
JASPER HEALTH WORX LLC
Active
Parent organization
JASPER HEALTH WORX LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
JASPER HEALTH WORX LLC
Authorized official
KELLI LAMPERT (DIRECTOR OF COMPLIANCE)
(812) 482-1041
Entity
Organization
Contact information
Practice address
5960 BURLINGAME AVE SW STE A, WYOMING, MI 49509-9398
(877) 291-6488
Mailing address
5960 BURLINGAME AVE SW STE A, WYOMING, MI 49509-9398
(877) 291-6488
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/02/2024
Last updated
02/02/2024
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