Bair, Dave
Bair, Dave is an sole proprietor health care provider with primary practice located at 15795 W Shaw Butte Dr , Surprise AZ 85379-1001. He recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as his primary health care specialty. Bair, Dave can be contacted via phone (602) 332-9174.Contact Information
Primary practice address
15795 W Shaw Butte Dr
Surprise AZ 85379-1001
Phone: (602) 332-9174
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X | AL9823H | Arizona |
Profile Details
| NPI number | 1437661436 |
|---|---|
| LBN Legal business name | Bair, Dave |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 30th, 2017 |
| Last updated | Oct 30th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437661436 | NPPES |
| Arizona | MEDICAID | 314544 |
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