Betz, John S
Betz, John S is an individual health care provider with primary practice located at 1852 N Mastick Way Mariposa Community Health Center, Nogales AZ 85621-1063. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Betz, John S can be contacted via phone (520) 281-1550.Contact Information
Primary practice address
1852 N Mastick Way Mariposa Community Health Center
Nogales AZ 85621-1063
Phone: (520) 281-1550
Fax: (520) 281-1112
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | D05556 | Arizona |
Profile Details
| NPI number | 1588631006 |
|---|---|
| LBN Legal business name | Betz, John S |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 2nd, 2006 |
| Last updated | May 26th, 2022 - about 4 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 | 1588631006 | NPPES |
| Arizona | MEDICAID | 167446 |
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