Healthcare Provider Details
I. General information
NPI: 1821605502
Provider Name (Legal Business Name): HEALTHPLUS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/28/2020
Last Update Date: 09/28/2020
Certification Date: 09/28/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
232 S MAIN ST
MIDDLETON MA
01949-3305
US
IV. Provider business mailing address
451 ANDOVER ST STE 110
NORTH ANDOVER MA
01845-5069
US
V. Phone/Fax
- Phone: 978-794-2000
- Fax: 978-794-2007
- Phone: 978-794-2000
- Fax: 978-794-2007
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363A00000X |
| Taxonomy | Physician Assistant |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AKINDELE
MAJEKODUNMI
Title or Position: CEO/ MANAGING PARTNER
Credential: MD
Phone: 267-779-5939