Sport Institute Of Tucson Pc

LBN: Sport Institute Of Tucson Pc
Sport Institute Of Tucson Pc is an health care organization with primary practice located at 6369 E Tanque Verde Rd , Tucson AZ 85715-3850. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Sport Institute Of Tucson Pc can be contacted via phone (520) 618-5500, or through Endean, Ty Howard via phone (520) 618-5500.

Contact Information

Primary practice address
6369 E Tanque Verde Rd Tucson AZ 85715-3850
Phone: (520) 618-5500
Fax: (520) 618-5944
Website:
Map and Directions
Authorized official contact:
Name: Endean, Ty Howard Doctor of Osteopathy (DO)
Phone: (520) 618-5500

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 3953 Arizona

Profile Details

NPI number 1154389005
LBN Legal business name Sport Institute Of Tucson Pc
DBA Doing business as
Authorized official Endean, Ty Howard Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2006
Last updated Aug 27th, 2013 - about 11 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 1154389005 NPPES
Arizona Other 11334734 CAQH

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