National Provider Identifier Database

GERIATRIC PSYCHIATRY SERVICES LLC
Multi-Specialty


Contact Information

GERIATRIC PSYCHIATRY SERVICES LLC
181 WHIPPLE ST
PRESCOTT, AZ86301-1705
Phone: 928-277-3424
Fax:
Website:
Specialty Taxonomy Code
* Multi-Specialty 261QM1300X
Health Service 261QH0100X

* Indicates primary specialty

NPI Profile & details for GERIATRIC PSYCHIATRY SERVICES LLC

NPI Number 1669003067
Legal business name
LBN
GERIATRIC PSYCHIATRY SERVICES LLC
Authorized official RICHARD CARTER - (ADMIISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 02/04/2020
Last updated 02/04/2020 - About 6 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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