Ekman, John Kevin

Ekman, John Kevin is an sole proprietor health care provider with primary practice located at 624 W 8Th St , Safford AZ 85546-2807. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Ekman, John Kevin can be contacted via phone (928) 428-6554.

Contact Information

Primary practice address
624 W 8Th St Safford AZ 85546-2807
Phone: (928) 428-6554
Fax: (928) 428-7266
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP1902 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP1902 Arizona

Profile Details

NPI number 1194722256
LBN Legal business name Ekman, John Kevin
Credentials FNP- C, PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2005
Last updated Aug 25th, 2008 - about 18 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 1194722256 NPPES
Arizona MEDICAID 859655

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