Pinetop-Lakeside Integrative & Physical Medicine,Llc

LBN: Pinetop-Lakeside Integrative & Physical Medicine,Llc
Pinetop-Lakeside Integrative & Physical Medicine,Llc is an health care organization with primary practice located at 1628 Reed Ln , Lakeside AZ 85929-6983. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty. Pinetop-Lakeside Integrative & Physical Medicine,Llc can be contacted via phone (928) 358-1648, or through Mar, Kevin via phone (928) 358-1648.

Contact Information

Primary practice address
1628 Reed Ln Lakeside AZ 85929-6983
Phone: (928) 358-1648
Fax: (928) 368-5178
Website:
Map and Directions
Authorized official contact:
Name: Mar, Kevin Doctor of Medicine (MD)
Phone: (928) 358-1648

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 34673 Arizona
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 34673 Arizona

Profile Details

NPI number 1376864462
LBN Legal business name Pinetop-Lakeside Integrative & Physical Medicine,Llc
DBA Doing business as
Authorized official Mar, Kevin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2010
Last updated Jun 13th, 2010 - about 15 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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