Omni Dermatology Olive Llc

LBN: Omni Dermatology Olive Llc
Omni Dermatology Olive Llc is an health care organization with primary practice located at 5700 W Olive Ave Ste 101, Glendale AZ 85302-3147. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Omni Dermatology Olive Llc can be contacted via phone (602) 559-5470, or through Racette, Andrew Joseph via phone (602) 954-3919.

Contact Information

Primary practice address
5700 W Olive Ave Ste 101 Glendale AZ 85302-3147
Phone: (602) 559-5470
Fax: (602) 559-5471
Website:
Map and Directions
Authorized official contact:
Name: Racette, Andrew Joseph Doctor of Osteopathy (DO)
Phone: (602) 954-3919

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1669914172
LBN Legal business name Omni Dermatology Olive Llc
DBA Doing business as
Authorized official Racette, Andrew Joseph Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2016
Last updated Nov 15th, 2016 - about 10 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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