| Earle & Earle, Pllc | |
|
1835 E 6th St Ste 21 Tempe AZ 85281-2964 | |
| (602) 888-1447 | |
| Not Available |
| Full Name | Earle & Earle, Pllc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 1835 E 6th St Ste 21, Tempe, Arizona |
| Authorized Official Name and Position | Christopher Ian Earle (OWNER) |
| Authorized Official Contact | 4805816981 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Earle & Earle, Pllc 1835 E 6th St Ste 21 Tempe AZ 85281 Ph: (480) 581-6981 | Earle & Earle, Pllc 1835 E 6th St Ste 21 Tempe AZ 85281-2964 Ph: (602) 888-1447 |
| NPI Number | 1255965901 |
|---|---|
| Provider Enumeration Date | 03/02/2020 |
| Last Update Date | 10/29/2021 |
| Certification Date | 10/29/2021 |
| Medicare PECOS PAC ID | 8729404710 |
|---|---|
| Medicare Enrollment ID | O20200821000152 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255965901 | NPI | - | NPPES |
| Provider Name | Christopher Ian Earle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003242314 PECOS PAC ID: 6305074378 Enrollment ID: I20140121000677 |
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