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Contact Information

9FIVERS LLC
2163 LOGAN AVE
SAN DIEGO, CA92113-2203
 Phone: 619-482-9595
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for 9FIVERS LLC

NPI Number 1184404709
LBN Legal business name 9FIVERS LLC
Authorized official JONATHAN CRADDUCK - (COO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/02/2023
Last updated 10/02/2023 - About 3 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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