National Provider Identifier Database

REGENIX WOUND CARE LLC
Health Service


Contact Information

REGENIX WOUND CARE LLC
18205 N 51ST AVE STE 107
GLENDALE, AZ85308-1491
Phone: 623-624-9683
Fax:
Website:
Specialty Taxonomy Code
* Health Service 261QH0100X

* Indicates primary specialty

NPI Profile & details for REGENIX WOUND CARE LLC

NPI Number 1689467607
Legal business name
LBN
REGENIX WOUND CARE LLC
Authorized official JESS MORGAN - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 05/22/2025
Last updated 05/22/2025 - More than a year 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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