Teresa J Tibbetts M D Llc

LBN: Teresa J Tibbetts M D Llc
Teresa J Tibbetts M D Llc is an health care organization with primary practice located at 2082 Mesquite Ave Suite A106, Lake Havasu City AZ 86403-6710. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Teresa J Tibbetts M D Llc can be contacted via phone (928) 680-4233, or through Tibbetts, Teresa J via phone (928) 680-4233.

Contact Information

Primary practice address
2082 Mesquite Ave Suite A106 Lake Havasu City AZ 86403-6710
Phone: (928) 680-4233
Fax: (928) 680-6522
Website:
Map and Directions
Authorized official contact:
Name: Tibbetts, Teresa J Doctor of Medicine (MD)
Phone: (928) 680-4233

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 27163 Arizona

Profile Details

NPI number 1053594275
LBN Legal business name Teresa J Tibbetts M D Llc
DBA Doing business as
Authorized official Tibbetts, Teresa J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2007
Last updated Aug 5th, 2008 - about 16 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 1053594275 NPPES
Arizona MEDICAID 474429
Arizona Other AZ0769200
Arizona Other 2Z2286
Arizona Other DD0854

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