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PROTOTYPE HEALTH INC NPI 1861165144


NPI Information

NPI: 1861165144
Provider Name: PROTOTYPE HEALTH, INC
Classification: Naturopath - 175F00000X
Entity Type: Organization

CLIA Number: 03D2123430

Address:
2055 E SOUTHERN AVE STE F
TEMPE, AZ
ZIP 85282
Phone: (480) 999-1717
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PROTOTYPE HEALTH, INC is a naturopath in Tempe, AZ. The provider is diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life. PROTOTYPE HEALTH, INC NPI is 1861165144. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2055 E SOUTHERN AVE STE F
TEMPE, AZ
ZIP 85282-507
Phone: (480) 999-1717
Fax: (480) 999-0773

The provider's authorized official is Jami Kupperman .
The authorized official title is Ceo and has the following contact phone number (480) 999-1717.

The CLIA number assigned to this NPI record is 03D2123430 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/31/2021 and was last updated on 8/19/2022.


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
1175F00000XNaturopathYes

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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