Regency Skin Institute Pllc

LBN: Regency Skin Institute Pllc
Regency Skin Institute Pllc is an health care organization with primary practice located at 14725 W Mountain View Blvd , Surprise AZ 85374-2704. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Regency Skin Institute Pllc can be contacted via phone (623) 243-9077, or through Mussman, Jason Lee via phone (623) 251-6431.

Contact Information

Primary practice address
14725 W Mountain View Blvd Surprise AZ 85374-2704
Phone: (623) 243-9077
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mussman, Jason Lee Doctor of Medicine (MD)
Phone: (623) 251-6431

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1083298301
LBN Legal business name Regency Skin Institute Pllc
DBA Doing business as
Authorized official Mussman, Jason Lee Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date May 12th, 2021
Last updated May 12th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1083298301 NPPES
Arizona Other 49090 ARIZONA MEDICAL BOARD

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