Your Health Home Pllc

LBN: Your Health Home Pllc
Your Health Home Pllc is an health care organization with primary practice located at 2035 Mesquite Ave Suite C, Lake Havasu City AZ 86403-5894. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Your Health Home Pllc can be contacted via phone (928) 680-3343, or through Peterson, Robert D via phone (928) 680-3343.

Contact Information

Primary practice address
2035 Mesquite Ave Suite C Lake Havasu City AZ 86403-5894
Phone: (928) 680-3343
Fax: (928) 680-3342
Website:
Map and Directions
Authorized official contact:
Name: Peterson, Robert D Doctor of Medicine (MD)
Phone: (928) 680-3343

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 48485 Arizona

Profile Details

NPI number 1609207075
LBN Legal business name Your Health Home Pllc
DBA Doing business as
Authorized official Peterson, Robert D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 10th, 2013
Last updated Mar 13th, 2014 - about 10 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 1609207075 NPPES
Arizona Other P-18894563 PLLC REGISTRATION NUMBER
Arizona MEDICAID 885211 PLLC REGISTRATION NUMBER

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