Mens Vitality Center
LBN: Vitality Internal Medicine - Glendale Llc
Mens Vitality Center is an health care organization with primary practice located at 18205 N 51St Ave Ste 129 , Glendale AZ 85308-1492. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty.
Vitality Internal Medicine - Glendale Llc can be contacted via phone (623) 398-8554, or through Evans, Charles Benjamin via phone (602) 791-9112.
Contact Information
Primary practice address
18205 N 51St Ave Ste 129
Glendale AZ 85308-1492
Phone: (623) 398-8554
Fax:
Website:
Authorized official contact:
Name: Evans, Charles Benjamin Doctor of Medicine (MD)
Phone: (602) 791-9112
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Primary Care | 261QP2300X | 37616 | Arizona |
Profile Details
NPI number | 1336436690 |
---|---|
LBN Legal business name | Vitality Internal Medicine - Glendale Llc |
DBA Doing business as | Mens Vitality Center |
Authorized official | Evans, Charles Benjamin Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jul 6th, 2011 |
Last updated | Jul 6th, 2011 - about 14 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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