Herrera, Jamie

Herrera, Jamie is an individual health care provider with primary practice located at 2311 W Royal Palm Rd , Phoenix AZ 85021-4916. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Herrera, Jamie can be contacted via phone (602) 353-2340.

Contact Information

Primary practice address
2311 W Royal Palm Rd Phoenix AZ 85021-4916
Phone: (602) 353-2340
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LISAC10664 Arizona

Profile Details

NPI number 1831571918
LBN Legal business name Herrera, Jamie
Credentials LISAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2015
Last updated Feb 26th, 2019 - about 7 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 1831571918 NPPES
Arizona MEDICAID 032042

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