Ficken, Jeremy

Ficken, Jeremy is an sole proprietor health care provider with primary practice located at 750 N Estrella Pkwy Ste 40, Goodyear AZ 85338-9272. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Ambulatory Health Care Facilities / Ambulatory Family Planning Facility. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Ficken, Jeremy can be contacted via phone (623) 889-3477.

Contact Information

Primary practice address
750 N Estrella Pkwy Ste 40 Goodyear AZ 85338-9272
Phone: (623) 889-3477
Fax: (623) 889-3478
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 147824 Arizona
Ambulatory Health Care Facilities / Ambulatory Family Planning Facility 261QA0005X 583861 California
Ambulatory Health Care Facilities / Ambulatory Family Planning Facility 261QA0005X 147824 Arizona

Profile Details

NPI number 1699164202
LBN Legal business name Ficken, Jeremy
Credentials NP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 20th, 2015
Last updated Apr 7th, 2015 - about 11 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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