Cortes, Jennifer Ekdahl

Cortes, Jennifer Ekdahl is an individual health care provider with primary practice located at 2920 N 4Th St , Flagstaff AZ 86004-1816. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Cortes, Jennifer Ekdahl can be contacted via phone (928) 522-9400.

Contact Information

Primary practice address
2920 N 4Th St Flagstaff AZ 86004-1816
Phone: (928) 522-9400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 43369 Arizona
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 43369 Arizona

Profile Details

NPI number 1225204381
LBN Legal business name Cortes, Jennifer Ekdahl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2008
Last updated Sep 9th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225204381 NPPES
Arizona MEDICAID 524359

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