National Provider Identifier Database

WEST FAMILY PRACTICE AND OBSTETRICS
Health Service


Contact Information

WEST FAMILY PRACTICE AND OBSTETRICS
1510 E WAGON WHEEL LN
SUITE 106
FORT MOHAVE, AZ86426-6697
Phone: 928-788-9378
Fax: 928-788-9381
Website:
Specialty Taxonomy Code
* Health Service 261QH0100X

* Indicates primary specialty

NPI Profile & details for WEST FAMILY PRACTICE AND OBSTETRICS

NPI Number 1003996224
Legal business name
LBN
WEST FAMILY PRACTICE AND OBSTETRICS
Authorized official GERALD WEST - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 10/16/2006
Last updated 02/02/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: 27671
  • AZ Other: Z109137 MEDICARE ID-PIN

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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