National Provider Identifier Database

QUEEN CREEK PRIMARY CARE PC
Health Service


Contact Information

QUEEN CREEK PRIMARY CARE, P.C.
20713 E. OCOTILLO ROAD #100
QUEEN CREEK, AZ85242
Phone: 480-882-9993
Fax: 480-248-2377
Website:
Specialty Taxonomy Code
* Health Service 261QH0100X

* Indicates primary specialty

NPI Profile & details for QUEEN CREEK PRIMARY CARE, P.C.

NPI Number 1538371604
Legal business name
LBN
QUEEN CREEK PRIMARY CARE, P.C.
Authorized official KIM HUNT - (OFFICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 05/03/2007
Last updated 01/15/2008 - About 18 years 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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