Organization
CLEVELAND HEALTH VENTURES LLC
Active
Parent organization
CLEVELAND HEALTH VENTURES LLC
Other names
CHV SHVI Shelby
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLEVELAND HEALTH VENTURES LLC
Authorized official
MR. DANIEL WIENS (SENIOR VICE PRESIDENT)
(704) 355-0648
Entity
Organization
Contact information
Practice address
111 W. GROVER STREET, SHELBY, NC 28150-3824
(704) 482-1006
(704) 484-8855
Mailing address
PO BOX 601884, CHARLOTTE, NC 28260-1884
(704) 482-1006
(704) 484-8855
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5917581
—
NC
05
—
NPB416
—
SC
Enumeration date
12/15/2010
Last updated
06/28/2013
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