National Provider Identifier Database

LIFETIME MEDICAL CARE PLLC
Rural Health


Contact Information

LIFETIME MEDICAL CARE PLLC
3101 CLEARWATER DR
SUITE B
PRESCOTT, AZ86305-7180
Phone: 928-237-9014
Fax: 928-237-9063
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for LIFETIME MEDICAL CARE PLLC

NPI Number 1265840037
Legal business name
LBN
LIFETIME MEDICAL CARE PLLC
Authorized official SHELLY DAMSCHRODER - (MANAGER/OWNER/PROVIDER)
Entity Organization
Organization subpart No
Enumeration date 07/24/2014
Last updated 01/04/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: AP7289
  • AZ Other: AP7289 NURSE PRACTITIONER LICENSE NUMBER

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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