Caselli Avenue Professionals Llc

LBN: Caselli Avenue Professionals Llc
Caselli Avenue Professionals Llc is an health care organization with primary practice located at 9812 N 7Th St 9812 N. 7Th Street, Phoenix AZ 85020-1763. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Obesity Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Caselli Avenue Professionals Llc can be contacted via phone (602) 714-6783, or through Sutherland, John via phone (602) 714-6783.

Contact Information

Primary practice address
9812 N 7Th St 9812 N. 7Th Street Phoenix AZ 85020-1763
Phone: (602) 714-6783
Fax: (602) 325-0125
Website:
Map and Directions
Authorized official contact:
Name: Sutherland, John Doctor of Medicine (MD)
Phone: (602) 714-6783

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 27081 Arizona
Allopathic & Osteopathic Physicians / Obesity Medicine 207RB0002X 27081 Arizona
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 27081 Arizona

Profile Details

NPI number 1669845558
LBN Legal business name Caselli Avenue Professionals Llc
DBA Doing business as
Authorized official Sutherland, John Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 2nd, 2015
Last updated Nov 2nd, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669845558 NPPES
Arizona Other WCSKQ SUN HEALTH GROUP
Arizona MEDICAID 445470 SUN HEALTH GROUP

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