Provider Demographics
NPI:1427419894
Name:E&A SOLUTIONS
Entity Type:Organization
Organization Name:E&A SOLUTIONS
Other - Org Name:AZ MOBILE HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:STORY
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:602-697-1147
Mailing Address - Street 1:24656 NORTH LAKE PLEASANT PARKWAY
Mailing Address - Street 2:ST 103-288
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85373
Mailing Address - Country:US
Mailing Address - Phone:602-697-1147
Mailing Address - Fax:602-391-2234
Practice Address - Street 1:24656 NORTH LAKE PLEASANT PARKWAY
Practice Address - Street 2:ST 103-288
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85373
Practice Address - Country:US
Practice Address - Phone:602-697-1147
Practice Address - Fax:602-391-2234
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-14
Last Update Date:2016-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP7842261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ177987OtherPTAN