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JOHN C. LINCOLN LLC NPI 1194839217


NPI Information

NPI: 1194839217
Provider Name: JOHN C. LINCOLN LLC

Doing Business As: SOUTHWEST ENDOCRINOLOGY ASSOCIATES

Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

Address:
9225 N 3RD ST
SUITE 307
PHOENIX, AZ
ZIP 85020
Phone: (602) 249-2490
Get Directions

JOHN C. LINCOLN LLC is an endocrinology and diabetes and metabolism internal medicine in Phoenix, AZ. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. JOHN C. LINCOLN LLC NPI is 1194839217. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Southwest Endocrinology Associates.

The provider's business location address is:

9225 N 3RD ST
SUITE 307
PHOENIX, AZ
ZIP 85020-439
Phone: (602) 249-2490
Fax: (602) 249-2555

The provider's authorized official is Gary Grover .
The authorized official title is Sr. Vice President and has the following contact phone number (623) 516-8637.

The enumeration date for this NPI number is 8/18/2006 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1830548MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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