National Provider Identifier Database

AHWATUKEE AMBULATORY SURGICAL CENTER LLC
Ambulatory Surgical


Contact Information

AHWATUKEE AMBULATORY SURGICAL CENTER, LLC
15810 S 45TH ST
SUITE 140
PHOENIX, AZ85048-7694
Phone: 480-239-4799
Fax:
Website:
Specialty Taxonomy Code
* Ambulatory Surgical 261QA1903X

* Indicates primary specialty

NPI Profile & details for AHWATUKEE AMBULATORY SURGICAL CENTER, LLC

NPI Number 1457898827
Legal business name
LBN
AHWATUKEE AMBULATORY SURGICAL CENTER, LLC
Authorized official TODD FARNWORTH - (MANAGER)
Entity Organization
Organization subpart No
Enumeration date 01/24/2017
Last updated 01/24/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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