Ibarrola, Jaime L
Ibarrola, Jaime L is an individual health care provider with primary practice located at 6750 E Baywood Ave Suite 401, Mesa AZ 85206-1749. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Ibarrola, Jaime L can be contacted via phone (480) 835-7111.Contact Information
Primary practice address
6750 E Baywood Ave Suite 401
Mesa AZ 85206-1749
Phone: (480) 835-7111
Fax: (480) 969-9345
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 13055 | Arizona |
Profile Details
| NPI number | 1780671198 |
|---|---|
| LBN Legal business name | Ibarrola, Jaime L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 30th, 2005 |
| Last updated | Jan 6th, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780671198 | NPPES |
| Arizona | MEDICAID | 24938501 |
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