Wu, David

Wu, David is an individual health care provider with primary practice located at 2753 E Broadway Rd #101-454, Mesa AZ 85204-1579. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Perfusionist, which is considered as his primary health care specialty. Wu, David can be contacted via phone (480) 659-6964.

Contact Information

Primary practice address
2753 E Broadway Rd #101-454 Mesa AZ 85204-1579
Phone: (480) 659-6964
Fax: (480) 659-6791
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Perfusionist 242T00000X

Profile Details

NPI number 1144246240
LBN Legal business name Wu, David
Credentials Certified Clinical Perfusionist (CCP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Aug 18th, 2009 - about 16 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 1144246240 NPPES
Arizona MEDICAID 505422

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