Lake Havasu Primary Care Pllc

LBN: Lake Havasu Primary Care Pllc
Lake Havasu Primary Care Pllc is an health care organization with primary practice located at 1830 Mesquite Ave Suite B, Lake Havasu City AZ 86403-5885. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Lake Havasu Primary Care Pllc can be contacted via phone (928) 453-0777, or through Sidiqi, Essa J via phone (928) 453-0777.

Contact Information

Primary practice address
1830 Mesquite Ave Suite B Lake Havasu City AZ 86403-5885
Phone: (928) 453-0777
Fax: (928) 453-0778
Website:
Map and Directions
Authorized official contact:
Name: Sidiqi, Essa J Doctor of Medicine (MD)
Phone: (928) 453-0777

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 48667 Arizona

Profile Details

NPI number 1194116186
LBN Legal business name Lake Havasu Primary Care Pllc
DBA Doing business as
Authorized official Sidiqi, Essa J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 11th, 2015
Last updated Feb 11th, 2015 - about 9 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 1194116186 NPPES
Arizona Other P-1982371-1 PLLC REGISTRATION NUMBER

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