Triad Clinic Pllc

LBN: Triad Clinic Pllc
Triad Clinic Pllc is an health care organization with primary practice located at 4902 W Ironwood Dr , Glendale AZ 85302-2402. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is the primary health care specialty. Triad Clinic Pllc can be contacted via phone (602) 667-4636, or through Knight, Daniel via phone (602) 667-4636.

Contact Information

Primary practice address
4902 W Ironwood Dr Glendale AZ 85302-2402
Fax: (480) 247-5551
Website:
Authorized official contact:
Name: Knight, Daniel Nurse Practitioner (NP)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 3175 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP2115 Arizona

Profile Details

NPI number 1174857791
LBN Legal business name Triad Clinic Pllc
DBA Doing business as
Authorized official Knight, Daniel Nurse Practitioner (NP)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 29th, 2009
Last updated Nov 4th, 2010 - about 15 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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