Healthcare Provider Details

I. General information

NPI: 1770688293
Provider Name (Legal Business Name): HEALTH LOGIC EDUCATION SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

668 N 44TH ST SUITE 300
PHOENIX AZ
85008-6506
US

IV. Provider business mailing address

668 N 44TH ST SUITE 300
PHOENIX AZ
85008-6506
US

V. Phone/Fax

Practice location:
  • Phone: 602-685-1072
  • Fax: 602-685-1073
Mailing address:
  • Phone: 602-685-1072
  • Fax: 602-685-1073

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License NumberRN076865
License Number StateAZ

VIII. Authorized Official

Name: MR. JAMES E. ZORN
Title or Position: PRESIDENT
Credential: RN
Phone: 602-685-1072