National Provider Identifier Database

OB GYN WOMENS CENTER PC
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

OB-GYN WOMEN'S CENTER, PC
3003 HIGHWAY 95
SUITE 39
BULLHEAD CITY, AZ86429
Phone: 928-758-1010
Fax: 928-758-1428
Website:
Specialty Taxonomy Code
* Specialist 174400000X
Point of Service 305S00000X

* Indicates primary specialty

NPI Profile & details for OB-GYN WOMEN'S CENTER, PC

NPI Number 1992901672
Legal business name
LBN
OB-GYN WOMEN'S CENTER, PC
Authorized official DIANE IMMESBERGER - (ADMINISTRATIVE ASSISTANT)
Entity Organization
Organization subpart No
Enumeration date 06/21/2007
Last updated 10/29/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ Medicaid: 145525

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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