Jecius, Algimantas L
Jecius, Algimantas L is an individual health care provider with primary practice located at 340 S Willard St , Cottonwood AZ 86326-4126. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Jecius, Algimantas L can be contacted via phone (928) 639-7969.Contact Information
Primary practice address
340 S Willard St
Cottonwood AZ 86326-4126
Phone: (928) 639-7969
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 2013-01602 | North Carolina |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 51930 | Arizona |
Profile Details
| NPI number | 1508829912 |
|---|---|
| LBN Legal business name | Jecius, Algimantas L |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 7th, 2006 |
| Last updated | Aug 22nd, 2023 - about 3 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 | 1508829912 | NPPES |
| North Carolina | MEDICAID | 1508829912 | |
| North Carolina | Other | 1098049 | |
| North Carolina | Other | 7324875 |
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