Dostalek, Patricia Suzanne
Dostalek, Patricia Suzanne is an individual health care provider with primary practice located at 5301 E Grant Rd Obstetrix Medical Group Of Az, P.C., Tucson AZ 85712-2805. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Dostalek, Patricia Suzanne can be contacted via phone (520) 881-3936.Contact Information
Primary practice address
5301 E Grant Rd Obstetrix Medical Group Of Az, P.C.
Tucson AZ 85712-2805
Phone: (520) 881-3936
Fax: (520) 795-0626
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 080636 | Arizona |
Profile Details
| NPI number | 1306808670 |
|---|---|
| LBN Legal business name | Dostalek, Patricia Suzanne |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2006 |
| Last updated | Feb 25th, 2010 - about 16 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 | 1306808670 | NPPES |
| Arizona | MEDICAID | 157924 | |
| Arizona | Other | 080636 | |
| Arizona | Other | 166 | |
| Arizona | Other | 102 | |
| Arizona | Other | 216287 | |
| Arizona | Other | 00145 | |
| Arizona | Other | 40189 |
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