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Contact Information

BRAINWAVE NEURO PERFORMANCE LLC
7360 N LA CHOLLA BLVD
TUCSON, AZ85741-2305
 Phone: 520-633-0206
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health Service

261QH0100X
 

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for BRAINWAVE NEURO PERFORMANCE LLC

NPI # 1639893118
LBN Legal business name BRAINWAVE NEURO PERFORMANCE LLC
Authorized official GREGORY ANDREWS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/28/2022
Last updated 09/28/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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