National Provider Identifier Database

BANNER URGENT CARE SURPRISE
Urgent Care


Contact Information

BANNER URGENT CARE - SURPRISE
15468 NORTH CIVIC CENTER DRIVE
SURPRISE, AZ85374
Phone: 623-584-2917
Fax:
Website:
Specialty Taxonomy Code
* Urgent Care 261QU0200X

* Indicates primary specialty

NPI Profile & details for BANNER URGENT CARE - SURPRISE

NPI Number 1649406273
Legal business name
LBN
BANNER URGENT CARE - SURPRISE
Authorized official DENNIS DAHLEN - (SR VP FINANCE)
Entity Organization
Organization subpart Yes
Enumeration date 06/10/2009
Last updated 08/31/2010 - About 16 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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