Ketamine Wellness Centers Mesa, Llc

LBN: Ketamine Wellness Centers Mesa, Llc
Ketamine Wellness Centers Mesa, Llc is an health care organization with primary practice located at 2451 E Baseline Rd Ste 300 , Gilbert AZ 85234-2465. The organization recently has 5 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Anesthesiology is the primary health care specialty. Ketamine Wellness Centers Mesa, Llc can be contacted via phone (480) 788-8539, or through Jerger, Anita D via phone (855) 538-9355.

Contact Information

Primary practice address
2451 E Baseline Rd Ste 300 Gilbert AZ 85234-2465
Phone: (480) 788-8539
Fax: (844) 538-9355
Website:
Map and Directions
Authorized official contact:
Name: Jerger, Anita D
Phone: (855) 538-9355

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1447811898
LBN Legal business name Ketamine Wellness Centers Mesa, Llc
DBA Doing business as
Authorized official Jerger, Anita D
Entity Organization
Organization subpart 1 No
Enumeration date Jun 26th, 2019
Last updated Jan 10th, 2022 - about 4 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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