National Provider Identifier Database

PEDIATRIC MULTICARE WEST LLC
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


Contact Information

PEDIATRIC MULTICARE WEST, LLC
316 W. WHITE MOUNTAIN BLVD.
SUITE A
LAKESIDE, AZ85929
Phone: 928-358-4620
Fax: 928-358-5319
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for PEDIATRIC MULTICARE WEST, LLC

NPI Number 1689272700
Legal business name
LBN
PEDIATRIC MULTICARE WEST, LLC
Authorized official REBECCA RAFFLE - (BILLING MANAGER)
Entity Organization
Organization subpart No
Enumeration date 10/12/2020
Last updated 10/12/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ Medicaid: 619449

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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