Organization
PRINSEN CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH KENNETH PRINSEN DO, PHD (PHYSICAN AND CEO)
(585) 415-9332
Entity
Organization
Contact information
Practice address
689 HOLLANDALE RD, LA VERGNE, TN 37086-2039
(978) 415-9332
(615) 280-2442
Mailing address
689 HOLLANDALE RD, LA VERGNE, TN 37086-2039
(978) 415-9332
(615) 280-2442
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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