National Provider Identifier Database

GOOD YEARS FAMILY MEDICINE LLC
Health Service


Contact Information

GOOD YEARS FAMILY MEDICINE LLC
14960 W INDIAN SCHOOL RD
SUITE 340
GOODYEAR, AZ85395-7814
Phone: 623-594-3171
Fax: 623-594-3161
Website:
Specialty Taxonomy Code
* Health Service 261QH0100X

* Indicates primary specialty

NPI Profile & details for GOOD YEARS FAMILY MEDICINE LLC

NPI Number 1619370426
Legal business name
LBN
GOOD YEARS FAMILY MEDICINE LLC
Authorized official GREGORY CHROSTOWSKI - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 10/07/2014
Last updated 07/27/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: 31975

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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