National Provider Identifier Database

CHOOSE LIFE WELLNESS
Health Service


Contact Information

CHOOSE LIFE WELLNESS
4222 N 12TH ST
PHOENIX, AZ85014-6008
Phone: 602-714-5100
Fax: 602-935-9935
Website:
Specialty Taxonomy Code
* Health Service 261QH0100X

* Indicates primary specialty

NPI Profile & details for CHOOSE LIFE WELLNESS

NPI Number 1508553231
Legal business name
LBN
CHOOSE LIFE WELLNESS
Authorized official ANGELA CROWDER - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart No
Enumeration date 04/21/2023
Last updated 05/15/2026 - About 3 weeks 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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