Deckey, Gowan Jessen
Deckey, Gowan Jessen is an individual health care provider with primary practice located at 2359 S 22Nd Dr Ste 2, Yuma AZ 85364. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Deckey, Gowan Jessen can be contacted via phone (928) 344-4800.Contact Information
Primary practice address
2359 S 22Nd Dr Ste 2
Yuma AZ 85364
Phone: (928) 344-4800
Fax: (928) 726-2377
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 20484 | Arizona |
Profile Details
| NPI number | 1639230287 |
|---|---|
| LBN Legal business name | Deckey, Gowan Jessen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2006 |
| Last updated | Feb 26th, 2015 - about 10 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 | 1639230287 | NPPES |
| Arizona | Other | AZ0340800 | BCBS |
| Arizona | MEDICAID | 139768 | BCBS |
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