Healthcare Provider Details

I. General information

NPI: 1306921952
Provider Name (Legal Business Name): INDUSTRIAL SOLUTIONS NETOWRK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7325 N 16TH ST SUITE 100
PHOENIX AZ
85020-5249
US

IV. Provider business mailing address

PO BOX 30969
PHOENIX AZ
85046-0969
US

V. Phone/Fax

Practice location:
  • Phone: 602-788-1888
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINE EHRICH
Title or Position: PRESIDENT
Credential:
Phone: 602-788-1888