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Contact Information

LUIS TELLO
4536 S FOREST AVE
TEMPE, AZ85282-6707
 Phone: 480-208-2984
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chronic Disease Hospital

281P00000X
Indicates primary specialty

NPI Profile & details for LUIS TELLO · (Male)

NPI # 1528505062
Status Active
Credentials
Entity Individual
Enumeration date 01/23/2017
Last updated 01/23/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # D04912906
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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