Stavridis, Nick

Stavridis, Nick is an individual health care provider with primary practice located at 6644 E Baywood Ave , Mesa AZ 85206. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Stavridis, Nick can be contacted via phone (480) 981-4200.

Contact Information

Primary practice address
6644 E Baywood Ave Mesa AZ 85206
Phone: (480) 981-4200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 3565 Arizona

Profile Details

NPI number 1114908696
LBN Legal business name Stavridis, Nick
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated Sep 22nd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114908696 NPPES
Arizona Other 453051001 GROUP HEALTH GRP
Arizona MEDICAID 548646 GROUP HEALTH GRP
Arizona Other AZ0728670 GROUP HEALTH GRP
Arizona Other 3981220 GROUP HEALTH GRP
Arizona Other AW1436 GROUP HEALTH GRP
Arizona Other 860373636 GROUP HEALTH GRP

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