National Provider Identifier Database

NEXTCARE DANA LANDING URGENT CARE LLC
Urgent Care


Contact Information

NEXTCARE
LBN DANA LANDING URGENT CARE LLC
3130 E BASELINE RD
STE. 105
MESA, AZ85204
Phone: 480-539-0204
Fax:
Specialty Taxonomy Code
* Urgent Care 261QU0200X

* Indicates primary specialty

NPI Profile & details for NEXTCARE

NPI Number 1770549214
Legal business name
LBN
DANA LANDING URGENT CARE LLC
Doing business as
DBA
NEXTCARE
Authorized official JOHN SHUFELDT - (CEO)
Entity Organization
Organization subpart No
Enumeration date 04/25/2006
Last updated 01/29/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: OTC3755
  • AZ Medicaid: 922155
  • AZ Other: DE0529 RAILROAD MEDICARE

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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