National Provider Identifier Database

TRINITY HEALTH WELLNESS FAMILY PRACTICE PLLC
Health Service


Contact Information

TRINITY HEALTH & WELLNESS FAMILY PRACTICE PLLC
45 CAPRI BLVD STE F
LAKE HAVASU CITY, AZ86403-5657
Phone: 928-234-1177
Fax: 928-733-6259
Website:
Specialty Taxonomy Code
* Health Service 261QH0100X
Primary Care 261QP2300X

* Indicates primary specialty

NPI Profile & details for TRINITY HEALTH & WELLNESS FAMILY PRACTICE PLLC

NPI Number 1295246932
Legal business name
LBN
TRINITY HEALTH & WELLNESS FAMILY PRACTICE PLLC
Authorized official CHRIS DIPAOLA - (FAMILY NURSE PRACTITIONER)
Entity Organization
Organization subpart No
Enumeration date 10/21/2017
Last updated 06/16/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: AP9834
  • CA Medicaid: 1669836748

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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