National Provider Identifier Database

COMMUNITY HEALTH CARE OF DOUGLAS
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

COMMUNITY HEALTH CARE OF DOUGLAS
2174 W OAK AVE
DOUGLAS, AZ85607
Phone: 520-805-5813
Fax:
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X

* Indicates primary specialty

NPI Profile & details for COMMUNITY HEALTH CARE OF DOUGLAS

NPI Number 1205164688
Legal business name
LBN
COMMUNITY HEALTH CARE OF DOUGLAS
Authorized official BRIAN BICKELL - (CEO)
Entity Organization
Organization subpart No
Enumeration date 11/24/2009
Last updated 11/24/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ Medicaid: 55843901

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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