Johnwick Nathan, is a
Substance Abuse Rehabilitation Facility based in Laveen, Arizona. Johnwick Nathan is licensed to practice in * (Not Available) (license number ) and his current practice location is
6736 W Carson Rd, Laveen, Arizona. He can be reached at his office (for appointments etc.) via phone at
(860) 938-6845.
NPI number for Johnwick Nathan is 1306327770 and his current mailing address is 3950 W Chandler Blvd Apt 3049, Chandler, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1306327770.
Healthcare Provider's Profile
| Full Name | Johnwick Nathan |
|---|
| Gender | Male |
|---|
| Speciality | Substance Abuse Rehabilitation Facility |
|---|
| Location | 6736 W Carson Rd, Laveen, Arizona |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1306327770
- Provider Enumeration Date: 08/23/2018
- Last Update Date: 08/23/2018
Medical Identifiers
Medical identifiers for Johnwick Nathan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306327770 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Johnwick Nathan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Johnwick Nathan,
3950 W Chandler Blvd Apt 3049,
Chandler, AZ 85226-2662
Ph: (860) 938-6845 | Johnwick Nathan,
6736 W Carson Rd,
Laveen, AZ 85339-7024
Ph: (860) 938-6845 |
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