Medansky, David
Medansky, David is an sole proprietor health care provider with primary practice located at 11980 W Shifting Sands Dr , Peoria AZ 85383-2623. He recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Education, which is considered as his primary health care specialty. Medansky, David can be contacted via phone (602) 721-5218.Contact Information
Primary practice address
11980 W Shifting Sands Dr
Peoria AZ 85383-2623
Phone: (602) 721-5218
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Nutrition, Education | 133NN1002X |
Profile Details
| NPI number | 1275099020 |
|---|---|
| LBN Legal business name | Medansky, David |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 18th, 2019 |
| Last updated | Feb 18th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275099020 | NPPES |
| Other | 2083B002X | TAXONOMY |
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