Ji, Jack Ce

Ji, Jack Ce is an individual health care provider with primary practice located at 1200 N Beaver St , Flagstaff AZ 86001-3118. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Ji, Jack Ce can be contacted via phone (928) 214-2920.

Contact Information

Primary practice address
1200 N Beaver St Flagstaff AZ 86001-3118
Phone: (928) 214-2920
Fax: (928) 214-2925
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X DR.0067344 Colorado
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 6341 Arizona
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 006341 Arizona

Profile Details

NPI number 1730358789
LBN Legal business name Ji, Jack Ce
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2008
Last updated Nov 29th, 2022 - about 4 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 1730358789 NPPES
Arizona MEDICAID 903297

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