Versatile Medicine Pllc
LBN: Versatile Medicine Pllc
Versatile Medicine Pllc is an health care organization with primary practice located at 13055 W Mcdowell Rd Suite E-106, Avondale AZ 85392-6449. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty.
Versatile Medicine Pllc can be contacted via phone (623) 975-8400, or through Nichols, Kathleen A via phone (623) 975-8400.
Contact Information
Primary practice address
13055 W Mcdowell Rd Suite E-106
Avondale AZ 85392-6449
Phone: (623) 975-8400
Fax: (623) 935-2975
Website:
Authorized official contact:
Name: Nichols, Kathleen A Doctor of Medicine (MD)
Phone: (623) 975-8400
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | AZ26993 | Arizona |
Profile Details
| NPI number | 1326145608 |
|---|---|
| LBN Legal business name | Versatile Medicine Pllc |
| DBA Doing business as | |
| Authorized official | Nichols, Kathleen A Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Jun 8th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326145608 | NPPES |
| Arizona | Other | AZ0761300 | BLUE CROSS BLUE SHIELD |
| Arizona | Other | AZ0765500 | BLUE CROSS BLUE SHIELD |
| Arizona | MEDICAID | 517675 | BLUE CROSS BLUE SHIELD |
| Arizona | MEDICAID | 486581001 | BLUE CROSS BLUE SHIELD |
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