Godfrey, Adam Robert

Godfrey, Adam Robert is an sole proprietor health care provider with primary practice located at 13801 E Benson Hwy , Vail AZ 85641-9074. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Godfrey, Adam Robert can be contacted via phone (520) 879-2440.

Contact Information

Primary practice address
13801 E Benson Hwy Vail AZ 85641-9074
Phone: (520) 879-2440
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 3690822 Arizona

Profile Details

NPI number 1659585404
LBN Legal business name Godfrey, Adam Robert
Credentials SSP, NASP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 10th, 2007
Last updated Jul 9th, 2007 - about 19 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 1659585404 NPPES
Arizona MEDICAID 968224

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