Hinze, Brent

Hinze, Brent is an sole proprietor health care provider with primary practice located at 2060 E Hackamore St , Mesa AZ 85213-4003. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Hinze, Brent can be contacted via phone (480) 898-3009.

Contact Information

Primary practice address
2060 E Hackamore St Mesa AZ 85213-4003
Phone: (480) 898-3009
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X Arizona

Profile Details

NPI number 1427195155
LBN Legal business name Hinze, Brent
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 31st, 2007
Last updated Jul 26th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427195155 NPPES
Arizona MEDICAID 614009

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