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Contact Information

NCA HOLDINGS OF ARIZONA, LLC
13090 N 94TH DR
SUITE 101
PEORIA, AZ85381-4256
 Phone: 623-977-2707
 Fax: 623-977-2331
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Neuromusculoskeletal Medicine & OMM

204D00000X 12 Physician/Osteopathic Manipulative Medicine
Indicates primary specialty

NPI Profile & details for NCA HOLDINGS OF ARIZONA LLC · (Female)

NPI # 1184973018
Status Active
Credentials
Entity Individual
Enumeration date 09/06/2012
Last updated 12/27/2013 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • AZ Medicaid 746289
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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