Ketamine America Llc

LBN: Ketamine America Llc
Ketamine America Llc is an health care organization with primary practice located at 4838 E Baseline Rd Ste 110 , Mesa AZ 85206-4674. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Addiction Psychiatry, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty. Ketamine America Llc can be contacted via phone (480) 426-0767, or through Warkentin, David A via phone (310) 770-6368.

Contact Information

Primary practice address
4838 E Baseline Rd Ste 110 Mesa AZ 85206-4674
Phone: (480) 426-0767
Fax: (480) 436-6611
Website:
Map and Directions
Authorized official contact:
Name: Warkentin, David A Doctor of Chiropractic (DC)
Phone: (310) 770-6368

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X

Profile Details

NPI number 1053985986
LBN Legal business name Ketamine America Llc
DBA Doing business as
Authorized official Warkentin, David A Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2021
Last updated May 15th, 2021 - about 3 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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