Healthcare Provider Details

I. General information

NPI: 1255876215
Provider Name (Legal Business Name): CLINICAL BUSINESS SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/30/2016
Last Update Date: 12/30/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7702 E DOUBLETREE RANCH RD SUITE 300
SCOTTSDALE AZ
85258-2129
US

IV. Provider business mailing address

7702 E DOUBLETREE RANCH RD SUITE 300
SCOTTSDALE AZ
85258-2129
US

V. Phone/Fax

Practice location:
  • Phone: 480-348-8022
  • Fax:
Mailing address:
  • Phone: 480-348-8022
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberAP4771
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number7417
License Number StateAZ
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP8585
License Number StateAZ

VIII. Authorized Official

Name: MATTHEW RHODES
Title or Position: EXECUTIVE DIRECTOR
Credential: FNP
Phone: 480-348-8022