Az Fidelis Pllc

LBN: Az Fidelis Pllc
Az Fidelis Pllc is an health care organization with primary practice located at 7702 E Doubletree Ranch Rd Ste 300, Scottsdale AZ 85258-2129. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as the primary health care specialty. Az Fidelis Pllc can be contacted via phone (877) 408-2488, or through Halvorson, Glen A via phone (877) 408-2488.

Contact Information

Primary practice address
7702 E Doubletree Ranch Rd Ste 300 Scottsdale AZ 85258-2129
Phone: (877) 408-2488
Fax: (866) 776-6641
Website:
Map and Directions
Authorized official contact:
Name: Halvorson, Glen A Doctor of Medicine (MD)
Phone: (877) 408-2488

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 13423 Arizona

Profile Details

NPI number 1558507657
LBN Legal business name Az Fidelis Pllc
DBA Doing business as
Authorized official Halvorson, Glen A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 20th, 2008
Last updated Mar 27th, 2012 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1558507657 NPPES
Arizona Other 13423 STATE LICENSE

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