Provider Demographics
NPI:1023563855
Name:SSB VENTURES, LLC
Entity Type:Organization
Organization Name:SSB VENTURES, LLC
Other - Org Name:MEDI-WEIGHTLOSS CLINICS-SCOTTSDALE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NORA
Authorized Official - Middle Name:Y
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-596-4014
Mailing Address - Street 1:9377 E BELL RD STE 225
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-1850
Mailing Address - Country:US
Mailing Address - Phone:480-596-4014
Mailing Address - Fax:480-922-4535
Practice Address - Street 1:9377 E BELL RD STE 225
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-1850
Practice Address - Country:US
Practice Address - Phone:480-596-4014
Practice Address - Fax:480-922-4535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-22
Last Update Date:2016-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty