| Vip Healthcare, Pllc | |
|
294 Highway 16 N Suite C Denver NC 28037 | |
| (704) 489-2401 | |
| (704) 228-0009 |
| Full Name | Vip Healthcare, Pllc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 12/27/2017 |
| Last Update Date | 12/27/2017 |
| Medicare PECOS PAC ID | 0840553962 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689668261 PECOS PAC ID: 8426099540 Enrollment ID: I20050606001097 |
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