Provider Demographics
NPI:1043630783
Name:CARE ONE LLC
Entity Type:Organization
Organization Name:CARE ONE LLC
Other - Org Name:AZ MUSCLE & JOINT CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:DREITZLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:602-321-4151
Mailing Address - Street 1:3219 E CAMELBACK RD STE 588
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-2307
Mailing Address - Country:US
Mailing Address - Phone:602-635-3425
Mailing Address - Fax:602-419-3025
Practice Address - Street 1:13934 N 59TH AVE STE 100
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85306-4168
Practice Address - Country:US
Practice Address - Phone:602-635-3425
Practice Address - Fax:602-419-3025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-21
Last Update Date:2014-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care