Andrews, Debora Thomas
Andrews, Debora Thomas is an sole proprietor health care provider with primary practice located at 450 S Willard St Ste 115 , Cottonwood AZ 86326-6744. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Andrews, Debora Thomas can be contacted via phone (928) 639-9596.Contact Information
Primary practice address
450 S Willard St Ste 115
Cottonwood AZ 86326-6744
Phone: (928) 639-9596
Fax: (928) 639-0189
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 23745 | Arizona |
Profile Details
| NPI number | 1508814179 |
|---|---|
| LBN Legal business name | Andrews, Debora Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 5th, 2006 |
| Last updated | Apr 22nd, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508814179 | NPPES |
| Arizona | Other | 1Z3680 | HEALTH NET |
| Arizona | Other | 0812973 | HEALTH NET |
| Arizona | Other | 188961600 | HEALTH NET |
| Arizona | MEDICAID | 347816 | HEALTH NET |
| Arizona | Other | AZ0395880 | HEALTH NET |
| Arizona | Other | 070009056 | HEALTH NET |
| Arizona | Other | 99S007000007 | HEALTH NET |
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