Provider Demographics
NPI:1396572848
Name:FIRST ASSISTING LLC
Entity type:Organization
Organization Name:FIRST ASSISTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SURGICAL ASSISTANT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LORALE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHULTZ
Authorized Official - Suffix:
Authorized Official - Credentials:CSFA
Authorized Official - Phone:480-370-0939
Mailing Address - Street 1:22424 S ELLSWORTH LOOP RD UNIT 937
Mailing Address - Street 2:
Mailing Address - City:QUEEN CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85142-7120
Mailing Address - Country:US
Mailing Address - Phone:480-370-0939
Mailing Address - Fax:
Practice Address - Street 1:5400 W ENCANTO PASEO
Practice Address - Street 2:
Practice Address - City:QUEEN CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85144-3260
Practice Address - Country:US
Practice Address - Phone:480-370-0939
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-18
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Multi-Specialty