Provider Provider Pc

LBN: Provider Provider Pc
Provider Provider Pc is an health care organization with primary practice located at 841 W 11Th St , Mesa AZ 85201-3109. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Provider Provider Pc can be contacted via phone (480) 461-9822, or through Harris, Jonathan via phone (480) 461-9822.

Contact Information

Primary practice address
841 W 11Th St Mesa AZ 85201-3109
Phone: (480) 461-9822
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Harris, Jonathan PHYSICIAN ASSISTANT
Phone: (480) 461-9822

Health care specialties

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

Profile Details

NPI number 1760969190
LBN Legal business name Provider Provider Pc
DBA Doing business as
Authorized official Harris, Jonathan PHYSICIAN ASSISTANT
Entity Organization
Organization subpart 1 No
Enumeration date Jul 28th, 2018
Last updated Dec 20th, 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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