National Provider Identifier Database

SAGUARO BLOOM MED SPA LLC
Health Service


Contact Information

SAGUARO BLOOM MED SPA LLC
15323 N SCOTTSDALE ROAD
SUITE 180, ROOM 12
SCOTTSDALE, AZ85254
Phone: 315-707-5676
Fax:
Website:
Specialty Taxonomy Code
* Health Service 261QH0100X

* Indicates primary specialty

NPI Profile & details for SAGUARO BLOOM MED SPA LLC

NPI Number 1689427239
Legal business name
LBN
SAGUARO BLOOM MED SPA LLC
Authorized official KATIE MEAHAN - (OWNER, NURSE PRACTITIONER)
Entity Organization
Organization subpart No
Enumeration date 04/11/2024
Last updated 04/11/2024 - About 2 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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