National Provider Identifier Database

NORTH PHOENIX INTERNAL MEDICINE PC
Health Service


Contact Information

NORTH PHOENIX INTERNAL MEDICINE PC
1747 E MORTEN AVE
SUITE 303
PHOENIX, AZ85020-4602
Phone: 602-589-0370
Fax: 602-589-0650
Website:
Specialty Taxonomy Code
* Health Service 261QH0100X

* Indicates primary specialty

NPI Profile & details for NORTH PHOENIX INTERNAL MEDICINE PC

NPI Number 1700850492
Legal business name
LBN
NORTH PHOENIX INTERNAL MEDICINE PC
Authorized official WILLIAM BRUBAKER - (DOCTOR)
Entity Organization
Organization subpart No
Enumeration date 02/17/2006
Last updated 09/05/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: 14717

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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