Headley, Don B.

Headley, Don B. is an individual health care provider with primary practice located at 500 W Thomas Rd Suite 900, Phoenix AZ 85013-4224. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck, which is considered as his primary health care specialty. Headley, Don B. can be contacted via phone (602) 406-3540.

Contact Information

Primary practice address
500 W Thomas Rd Suite 900 Phoenix AZ 85013-4224
Phone: (602) 406-3540
Fax: (602) 406-7186
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck 207YX0007X 22079 Arizona

Profile Details

NPI number 1578550398
LBN Legal business name Headley, Don B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated May 14th, 2012 - about 14 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 1578550398 NPPES
Arizona MEDICAID 165151
Arizona Other P00452179
Arizona Other AZ0779380

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