Restore Vitality Center

LBN: Restore Vitality Center
Restore Vitality Center is an health care organization with primary practice located at 8133 W Heatherbrae Dr , Phoenix AZ 85033-2336. The organization recently has 6 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Education, Allopathic & Osteopathic Physicians / Electrodiagnostic Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Neuromuscular Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is the primary health care specialty. Restore Vitality Center can be contacted via phone (602) 814-2559, or through Nelson, Michael via phone (602) 814-2559.

Contact Information

Primary practice address
8133 W Heatherbrae Dr Phoenix AZ 85033-2336
Phone: (602) 814-2559
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nelson, Michael
Phone: (602) 814-2559

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X Arizona
Allopathic & Osteopathic Physicians / Electrodiagnostic Medicine 204R00000X Arizona
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X Arizona
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X Arizona
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X Arizona
Allopathic & Osteopathic Physicians / Neuromuscular Medicine 2081N0008X Arizona

Profile Details

NPI number 1447767181
LBN Legal business name Restore Vitality Center
DBA Doing business as Restore Vitality Center
Authorized official Nelson, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2018
Last updated Jan 3rd, 2018 - about 6 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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