National Provider Identifier Database

MOLLEN IMMUNIZATION CLINICS II LLC
Health Service


Contact Information

MOLLEN IMMUNIZATION CLINICS II, LLC
8324 E. HARTFORD DRIVE
SCOTTSDALE, AZ85255
Phone: 480-214-2000
Fax: 480-718-8358
Website:
Specialty Taxonomy Code
* Health Service 261QH0100X

* Indicates primary specialty

NPI Profile & details for MOLLEN IMMUNIZATION CLINICS II, LLC

NPI Number 1255508230
Legal business name
LBN
MOLLEN IMMUNIZATION CLINICS II, LLC
Authorized official TERESA ROBINSON - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart No
Enumeration date 05/09/2008
Last updated 08/30/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • Other: PHC 066 MEDICARE PTAN

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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