Neidich, Judith
Neidich, Judith is an individual health care provider with primary practice located at 755 E Mcdowell Rd , Phoenix AZ 85006-2506. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Neidich, Judith can be contacted via phone (602) 271-5111.Contact Information
Primary practice address
755 E Mcdowell Rd
Phoenix AZ 85006-2506
Phone: (602) 271-5111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1127 | Arizona |
Profile Details
| NPI number | 1033199260 |
|---|---|
| LBN Legal business name | Neidich, Judith |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1033199260 | NPPES |
| Arizona | MEDICAID | 173237 |
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