PREMIER INTEGRATED HEALTHCARE PLLC NPI 1508445941

NPI Information

NPI: 1508445941
Provider Name: PREMIER INTEGRATED HEALTHCARE PLLC

Former Legal Business Name: SOZO MEDICAL GROUP

Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
85 W COMBS RD STE 101-269
SAN TAN VALLEY, AZ
ZIP 85140
Phone: (480) 231-4113
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PREMIER INTEGRATED HEALTHCARE PLLC is a psychiatric/mental health nurse practitioner in San Tan Valley, AZ. PREMIER INTEGRATED HEALTHCARE PLLC NPI is 1508445941. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Sozo Medical Group.

The provider's business location address is:

85 W COMBS RD STE 101-269
SAN TAN VALLEY, AZ
ZIP 85140-125
Phone: (480) 231-4113

The provider's authorized official is Chidozie C Eze .
The authorized official title is Director and has the following contact phone number (480) 231-4113.

The CLIA number assigned to this NPI record is 03D2226692 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/5/2021 and was last updated on 2/17/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			Yes

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

NPI Synchronization or Removal

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