Ab Boutique Medicine Llc

LBN: Ab Boutique Medicine Llc
Ab Boutique Medicine Llc is an health care organization with primary practice located at 20 E Thomas Rd Ste 2200 , Phoenix AZ 85012-3133. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Ab Boutique Medicine Llc can be contacted via phone (512) 203-0413, or through Benninghoff, Chad via phone (512) 203-0413.

Contact Information

Primary practice address
20 E Thomas Rd Ste 2200 Phoenix AZ 85012-3133
Phone: (512) 203-0413
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Benninghoff, Chad
Phone: (512) 203-0413

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1285414888
LBN Legal business name Ab Boutique Medicine Llc
DBA Doing business as
Authorized official Benninghoff, Chad
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2023
Last updated Oct 2nd, 2023 - about 2 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.

Request for update

Popular Providers