National Provider Identifier Database

BANNER BLOOD AND MARROW TRANSPLANT PROGRAM
Health Service


Contact Information

BANNER BLOOD AND MARROW TRANSPLANT PROGRAM
1111 E MCDOWELL RD
PHOENIX, AZ85006-2612
Phone: 602-239-4526
Fax:
Website:
Specialty Taxonomy Code
* Health Service 261QH0100X

* Indicates primary specialty

NPI Profile & details for BANNER BLOOD AND MARROW TRANSPLANT PROGRAM

NPI Number 1407883747
Legal business name
LBN
BANNER BLOOD AND MARROW TRANSPLANT PROGRAM
Authorized official DENNIS DAHLEN - (SR VICE PRESIDENT FINANCE)
Entity Organization
Organization subpart Yes
Enumeration date 06/26/2006
Last updated 07/08/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ Medicaid: 776651

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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