Ageless Nutrition Bar Holdings, INC
Family Medicine, Adult Medicine in Phoenix, Arizona
1932704830- Practice location
- 4802 E Ray RD # 9, Phoenix, AZ 85044-6405
- Phone
- 901-757-3643
- Fax
- —
- Last updated
- November 13, 2023
Ageless Nutrition Bar Holdings, INC is a healthcare organization based in Phoenix, AZ. The NPI number for Ageless Nutrition Bar Holdings, INC is 1932704830. The current practice location address is 4802 E Ray RD # 9, Phoenix, AZ 85044-6405 and the office can be reached by phone at 901-757-3643. The NPI was assigned on December 1, 2020 and the record was last updated in NPPES on November 13, 2023.
●Provider Profile Details
- NPI Number
- 1932704830
- Provider Name
- Ageless Nutrition Bar Holdings, INC
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Family Medicine, Adult Medicine · 207QA0505X
- Organization Subpart
- No
- Authorized Official
- Teah Michelle Smith · Credentialing Manager · 901-205-3999
- Enumeration Date
- December 1, 2020
- Last Update Date
- November 13, 2023
- Certification Date
- November 13, 2023
- NPI Status
- Active
- Other Names
- Ageless Men'S Health (Doing Business As)
◉Business Practice Location Address
- Address
- 4802 E Ray RD # 9
Phoenix, AZ 85044-6405 - City
- Phoenix
- State
- Arizona
- ZIP
- 85044-6405
- Country
- US
- Phone Number
- 901-757-3643
✉Business Mailing Address
- Address
- 4802 E Ray RD # 9
Phoenix, AZ 85044-6405 - City
- Phoenix
- State
- AZ
- ZIP
- 85044-6405
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Clinic/Center, Primary Care | 261QP2300X | No | — | — |
| Family Medicine, Adult Medicine 193200000X - Multi-Specialty Group | 207QA0505X | Yes | — | — |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Phoenix →?Frequently Asked Questions
What is the NPI number of Ageless Nutrition Bar Holdings, INC?
The NPI number of Ageless Nutrition Bar Holdings, INC is 1932704830. It was assigned on December 1, 2020 and is currently active in the NPPES registry.
What is the specialty of Ageless Nutrition Bar Holdings, INC?
Ageless Nutrition Bar Holdings, INC is registered under the primary taxonomy Family Medicine, Adult Medicine (code 207QA0505X).
Where does Ageless Nutrition Bar Holdings, INC practice?
The practice location is 4802 E Ray RD # 9, Phoenix, AZ 85044-6405. The office can be reached at 901-757-3643 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1932704830 directly on the NPPES registry website at npiregistry.cms.hhs.gov.