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Contact Information

IOB WELLNESS CENTER LLC
5060 N 19TH AVE # 406-9
PHOENIX, AZ85015-3210
 Phone: 623-777-0082
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
 

Primary Care

261QP2300X
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
 

Rehabilitation

103TR0400X 62 Psychologist, Clinical
 

Substance Abuse Disorder Rehabilitation Facility

324500000X
Indicates primary specialty

NPI Profile & details for IOB WELLNESS CENTER LLC

NPI Number 1497360978
LBN Legal business name IOB WELLNESS CENTER LLC
Authorized official ERIC NBIZI - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/11/2020
Last updated 06/07/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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