Infectious Disease Consultants Pllc

LBN: Infectious Disease Consultants Pllc
Infectious Disease Consultants Pllc is an health care organization with primary practice located at 2001 W Orange Grove Rd Suite 404, Tucson AZ 85704-1139. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as the primary health care specialty. Infectious Disease Consultants Pllc can be contacted via phone (520) 989-0226, or through Thorn, Shannon Todd Martin via phone (520) 229-3300.

Contact Information

Primary practice address
2001 W Orange Grove Rd Suite 404 Tucson AZ 85704-1139
Fax: (520) 989-3798
Website:
Authorized official contact:
Name: Thorn, Shannon Todd Martin Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X

Profile Details

NPI number 1356609077
LBN Legal business name Infectious Disease Consultants Pllc
DBA Doing business as
Authorized official Thorn, Shannon Todd Martin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 1st, 2012
Last updated Feb 14th, 2013 - about 12 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 1356609077 NPPES
Arizona MEDICAID 711418

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