Olmedo, Jesse M
Olmedo, Jesse M is an sole proprietor health care provider with primary practice located at 14800 W Mountain View Blvd Suite 160, Surprise AZ 85374-2700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Olmedo, Jesse M can be contacted via phone (623) 584-3376.Contact Information
Primary practice address
14800 W Mountain View Blvd Suite 160
Surprise AZ 85374-2700
Phone: (623) 584-3376
Fax: (623) 584-3375
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 30536 | Arizona |
Profile Details
| NPI number | 1265490429 |
|---|---|
| LBN Legal business name | Olmedo, Jesse M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 3rd, 2006 |
| Last updated | Apr 9th, 2014 - about 12 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 | 1265490429 | NPPES |
| Arizona | Other | 1265490429 | AHCCCS |
| Arizona | Other | 2281872 | AHCCCS |
| Arizona | Other | 99S007000011 | AHCCCS |
| Arizona | Other | 7538647 | AHCCCS |
| Arizona | Other | 2Z3349 | AHCCCS |
| Arizona | Other | AZ0779550 | AHCCCS |
| Arizona | Other | 188961600 | AHCCCS |
| Arizona | Other | P00234871 | AHCCCS |
Popular Providers
-
Bickley, Lynn Kathleen
6412 Church Hill Rd , Chestertown MD 21620-2386 -
Burgos, Arelis
905 W 124Th Ave Ste 170 , Westminster CO 80234-1716 -
Barlow, James Orson
14800 W Mountain View Blvd Ste 160 , Surprise AZ 85374-2700 -
Waddington, Gary Lee
14239 W Bell Rd Suite 101, Surprise AZ 85374-2469 -
Zaki, Theodore Daniel
13995 W Statler Blvd Ste 150 , Surprise AZ 85374-5512 -
Reese, Drew Aubrey
14800 W Mountain View Blvd Ste 160 , Surprise AZ 85374-2700 -
Moss, Tyler A
14239 W Bell Rd Ste 101 , Surprise AZ 85374 -
Iorio, Susan Il
14725 W Mountain View Blvd Ste 103 , Surprise AZ 85374-2704