National Provider Identifier Database

CENTRAL MEDICAL GROUP PLLC
Multi-Specialty


Contact Information

CENTRAL MEDICAL GROUP PLLC
6036 N 19TH AVE
SUITE 502
PHOENIX, AZ85015-2106
Phone: 623-738-0193
Fax: 623-745-0801
Website:
Specialty Taxonomy Code
* Multi-Specialty 261QM1300X
Urgent Care 261QU0200X

* Indicates primary specialty

NPI Profile & details for CENTRAL MEDICAL GROUP PLLC

NPI Number 1558809442
Legal business name
LBN
CENTRAL MEDICAL GROUP PLLC
Authorized official SAM ALNAJJAR - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 02/10/2017
Last updated 02/10/2017 - About 9 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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