Johnson, Peggy Lee

Johnson, Peggy Lee is an individual health care provider with primary practice located at 7301 N 58Th Ave , Glendale AZ 85301-1893. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Johnson, Peggy Lee can be contacted via phone (623) 842-8148.

Contact Information

Primary practice address
7301 N 58Th Ave Glendale AZ 85301-1893
Phone: (623) 842-8148
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X RN075202 Arizona

Profile Details

NPI number 1912036492
LBN Legal business name Johnson, Peggy Lee
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2007
Last updated Jul 8th, 2007 - about 19 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 1912036492 NPPES
Arizona MEDICAID 824070

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