Sundance Medical Associates Pllc
LBN: Sundance Medical Associates Pllc
Sundance Medical Associates Pllc is an health care organization with primary practice located at 633 E Ray Rd Ste 133 , Gilbert AZ 85296-4206. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Sundance Medical Associates Pllc can be contacted via phone (480) 782-0609, or through Sackett, Sean K via phone (480) 782-0609.
Contact Information
Primary practice address
633 E Ray Rd Ste 133
Gilbert AZ 85296-4206
Phone: (480) 782-0609
Fax: (480) 782-0610
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | AZ3872 | Arizona |
Profile Details
NPI number | 1942481718 |
---|---|
LBN Legal business name | Sundance Medical Associates Pllc |
DBA Doing business as | |
Authorized official | Sackett, Sean K Doctor of Osteopathy (DO) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Nov 20th, 2007 |
Last updated | Nov 28th, 2012 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1942481718 | NPPES |
Arizona | MEDICAID | 879174 | |
Arizona | MEDICAID | 977358 |
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