Arizona Medical Boutique, Llc

LBN: Arizona Medical Boutique, Llc
Arizona Medical Boutique, Llc is an health care organization with primary practice located at 35017 N 30Th Dr , Phoenix AZ 85086-3224. The organization recently has only one registered license in Agencies / Public Health or Welfare, which is considered as the primary health care specialty. Arizona Medical Boutique, Llc can be contacted via phone (480) 766-0550, or through Oldehoeft, Shuree Kristine via phone (480) 766-0550.

Contact Information

Primary practice address
35017 N 30Th Dr Phoenix AZ 85086-3224
Fax: (623) 581-7499
Website:
Authorized official contact:
Name: Oldehoeft, Shuree Kristine Physician's Assistant Certified (PA-C)

Health care specialties

SpecialtyCodeLicense #State
Agencies / Public Health or Welfare 251K00000X 3164 Arizona

Profile Details

NPI number 1548462716
LBN Legal business name Arizona Medical Boutique, Llc
DBA Doing business as
Authorized official Oldehoeft, Shuree Kristine Physician's Assistant Certified (PA-C)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2007
Last updated Aug 22nd, 2020 - about 4 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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