Patricia A Dietzgen Do Llc

LBN: Patricia A Dietzgen Do Llc
Patricia A Dietzgen Do Llc is an health care organization with primary practice located at 16515 S 40Th St Suite 103, Phoenix AZ 85048-0558. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Patricia A Dietzgen Do Llc can be contacted via phone (480) 961-0760, or through Dietzgen, Patricia A via phone (480) 961-0760.

Contact Information

Primary practice address
16515 S 40Th St Suite 103 Phoenix AZ 85048-0558
Phone: (480) 961-0760
Fax: (480) 961-0761
Website:
Map and Directions
Authorized official contact:
Name: Dietzgen, Patricia A Doctor of Osteopathy (DO)
Phone: (480) 961-0760

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1255529491
LBN Legal business name Patricia A Dietzgen Do Llc
DBA Doing business as
Authorized official Dietzgen, Patricia A Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2007
Last updated Jan 19th, 2011 - about 13 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 1255529491 NPPES
Arizona Other DE7249 PALMETO GBA

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