Supernova Consulting Llc

LBN: Supernova Consulting Llc
Supernova Consulting Llc is an health care organization with primary practice located at 4550 E Bell Rd Ste 150 , Phoenix AZ 85032-9382. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as the primary health care specialty. Supernova Consulting Llc can be contacted via phone (480) 576-4310, or through Matatov, Tim via phone (480) 576-4310.

Contact Information

Primary practice address
4550 E Bell Rd Ste 150 Phoenix AZ 85032-9382
Phone: (480) 576-4310
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Matatov, Tim Doctor of Medicine (MD)
Phone: (480) 576-4310

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X

Profile Details

NPI number 1205486800
LBN Legal business name Supernova Consulting Llc
DBA Doing business as
Authorized official Matatov, Tim Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 16th, 2019
Last updated Apr 26th, 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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