E & G Business Development LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

E & G BUSINESS DEVELOPMENT LLC

Practice address

18305 W Cinnabar Ave
Waddell, AZ 85355-4353

Phone

(623) 806-2833

NPI assigned

Jun 27, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Erick Terry

Title

Member

Phone

(623) 806-2833

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468454400000",
    "number": "1811348253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18305 W CINNABAR AVE",
            "city": "WADDELL",
            "state": "AZ",
            "postal_code": "853554353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18305 W CINNABAR AVE",
            "city": "WADDELL",
            "state": "AZ",
            "postal_code": "853554353",
            "telephone_number": "623-806-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E & G BUSINESS DEVELOPMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-27",
        "last_updated": "2016-07-14",
        "status": "A",
        "authorized_official_last_name": "TERRY",
        "authorized_official_first_name": "ERICK",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "623-806-2833"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.