National Provider Identifier Database

NORTHSIDE MEDICAL CLINIC WALK IN LLC
Urgent Care


Contact Information

NORTHSIDE MEDICAL CLINIC WALK IN LLC
1394 W 16TH ST
YUMA, AZ85364
Phone: 928-539-0055
Fax: 928-539-0053
Specialty Taxonomy Code
* Urgent Care 261QU0200X

* Indicates primary specialty

NPI Profile & details for NORTHSIDE MEDICAL CLINIC WALK IN LLC

NPI Number 1245226398
Legal business name
LBN
NORTHSIDE MEDICAL CLINIC WALK IN LLC
Authorized official DANIEL ORTIZ - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 09/23/2005
Last updated 04/20/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: OTC3723

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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