Embry Riddle Wellness Center

LBN: Embry Riddle Wellness Center
Embry Riddle Wellness Center is an health care organization with primary practice located at 3700 Willow Creek Rd , Prescott AZ 86301-3721. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Embry Riddle Wellness Center can be contacted via phone (928) 777-6653, or through Palmer, Sandra via phone (928) 777-6653.

Contact Information

Primary practice address
3700 Willow Creek Rd Prescott AZ 86301-3721
Phone: (928) 777-6653
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Palmer, Sandra Registered Nurse (RN)
Phone: (928) 777-6653

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X Arizona

Profile Details

NPI number 1104166727
LBN Legal business name Embry Riddle Wellness Center
DBA Doing business as
Authorized official Palmer, Sandra Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 19th, 2013
Last updated Feb 19th, 2013 - about 12 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 1104166727 NPPES
Arizona Other 1730289380 ELLEN BUNCH MD TYPE I NPI
Arizona Other 1649376831 ELLEN BUNCH MD TYPE I NPI

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