Feldman Ent&Facial Plastic Surgery

LBN: Feldman Ent&Facial Plastic Surgery
Feldman Ent&Facial Plastic Surgery is an health care organization with primary practice located at 3700 N Colton Ranch Rd , Flagstaff AZ 86001-9310. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Feldman Ent&Facial Plastic Surgery can be contacted via phone (510) 206-1890, or through Feldman, Jacob Stephen via phone (510) 206-1890.

Contact Information

Primary practice address
3700 N Colton Ranch Rd Flagstaff AZ 86001-9310
Phone: (510) 206-1890
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Feldman, Jacob Stephen Doctor of Medicine (MD)
Phone: (510) 206-1890

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X

Profile Details

NPI number 1144006057
LBN Legal business name Feldman Ent&Facial Plastic Surgery
DBA Doing business as
Authorized official Feldman, Jacob Stephen Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 6th, 2023
Last updated Jan 9th, 2024 - about 10 months 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

Identifiers

StateTypeNumberIssuer
All States NPI 1144006057 NPPES
Arizona MEDICAID 137469

Popular Providers