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Contact Information

LONGEVITY MEDICAL HEALTH CENTER, LLC
13832 N 32ND STREET
SUITE #126
PHOENIX, AZ85032-5616
 Phone: 602-493-2273
 Fax: 602-493-2159
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Naturopath

175F00000X
 

Acupuncturist

171100000X
 

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for LONGEVITY MEDICAL HEALTH CENTER, LLC

NPI Number 1891914594
LBN Legal business name LONGEVITY MEDICAL HEALTH CENTER, LLC
Authorized official JONATHAN PSENKA - (OWNER/MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/24/2007
Last updated 02/08/2012 - About 14 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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