1669700993 NPI number — PREMIER CARDIOVASCULAR CENTER, PLC

Table of content: DR. DANETTE DEARING SCHWEERS DVM (NPI 1194086025)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1669700993 NPI number — PREMIER CARDIOVASCULAR CENTER, PLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PREMIER CARDIOVASCULAR CENTER, PLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1669700993
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/29/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
725 S DOBSON RD
Provider Second Line Business Mailing Address:
SUITE 100
Provider Business Mailing Address City Name:
CHANDLER
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85224-5680
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
480-814-0266
Provider Business Mailing Address Fax Number:
480-814-0036

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
725 S DOBSON RD
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
CHANDLER
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85224-5680
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
480-814-0266
Provider Business Practice Location Address Fax Number:
480-814-0036
Provider Enumeration Date:
11/24/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SOLSI
Authorized Official First Name:
ASHA
Authorized Official Middle Name:
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
480-814-0266

Provider Taxonomy Codes

  • Taxonomy code: 207RC0000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)