Organization · NPI-2

Alternate Health Club LLC

Family Medicine · Sheridan, WY

NPI number1316826969
StatusActive
Last updated in NPPESAug 28, 2025

Details

NPI
1316826969
Entity type
Organization (NPI-2)
Legal business name
Alternate Health Club LLC
Organization subpart
No
Enumeration date
Aug 28, 2025
Certification date
Aug 28, 2025
Last updated
Aug 28, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

1309 Coffeen Ave # 1200
Sheridan, WY 82801-5777

Phone 631-647-0162

Mailing address

1309 Coffeen Ave
Sheridan, WY 82801-5777

Authorized official

Nauman Ali Shahid
Managing Director
6463714498

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