Austin, Jill

Austin, Jill is an individual health care provider with primary practice located at 1215 N Beaver St , Flagstaff AZ 86001-3126. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Austin, Jill can be contacted via phone (928) 773-2200.

Contact Information

Primary practice address
1215 N Beaver St Flagstaff AZ 86001-3126
Phone: (928) 773-2200
Fax: (928) 773-2474
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2987 Arizona

Profile Details

NPI number 1770577603
LBN Legal business name Austin, Jill
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Mar 14th, 2017 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770577603 NPPES
Arizona MEDICAID 351601
Arizona Other AZ0154610
Arizona Other AW9821

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