Comprehensive Wound Care

LBN: Comprehensive Wound Care
Comprehensive Wound Care is an health care organization with primary practice located at 16515 S 40Th St Suite 139, Phoenix AZ 85048-0558. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, which is considered as the primary health care specialty. Comprehensive Wound Care can be contacted via phone (480) 706-0174, or through Pettit, Kenneth L via phone (480) 706-0174.

Contact Information

Primary practice address
16515 S 40Th St Suite 139 Phoenix AZ 85048-0558
Phone: (480) 706-0174
Fax: (480) 706-0117
Website:
Map and Directions
Authorized official contact:
Name: Pettit, Kenneth L Doctor of Osteopathy (DO)
Phone: (480) 706-0174

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X

Profile Details

NPI number 1740489251
LBN Legal business name Comprehensive Wound Care
DBA Doing business as
Authorized official Pettit, Kenneth L Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2007
Last updated Jun 21st, 2018 - about 8 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 1740489251 NPPES
Arizona MEDICAID 887507

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