Restore Vascular Pllc

LBN: Restore Vascular Pllc
Restore Vascular Pllc is an health care organization with primary practice located at 18510 E San Tan Blvd Ste 115 , Queen Creek AZ 85142-2206. The organization recently has 5 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Allopathic & Osteopathic Physicians / Phlebology, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Ambulatory Health Care Facilities / Multi-Specialty, Suppliers / Durable Medical Equipment & Medical Supplies. Allopathic & Osteopathic Physicians / Phlebology is the primary health care specialty. Restore Vascular Pllc can be contacted via phone (480) 442-3990, or through Weller, Nathan Ian via phone (480) 874-6808.

Contact Information

Primary practice address
18510 E San Tan Blvd Ste 115 Queen Creek AZ 85142-2206
Phone: (480) 442-3990
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Weller, Nathan Ian
Phone: (480) 874-6808

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X
Allopathic & Osteopathic Physicians / Phlebology 202K00000X
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1396452611
LBN Legal business name Restore Vascular Pllc
DBA Doing business as
Authorized official Weller, Nathan Ian
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2022
Last updated Aug 29th, 2023 - about 3 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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