Quigley, Jack B

Quigley, Jack B is an individual health care provider with primary practice located at 1020 N San Francisco St # 200, Flagstaff AZ 86001-3281. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Quigley, Jack B can be contacted via phone (928) 774-2300.

Contact Information

Primary practice address
1020 N San Francisco St # 200 Flagstaff AZ 86001-3281
Phone: (928) 774-2300
Fax: (928) 214-2150
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 20243 Arizona

Profile Details

NPI number 1861495137
LBN Legal business name Quigley, Jack B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Jul 9th, 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 1861495137 NPPES
Arizona Other 2004440 CIGNA
Arizona Other AZ0355110 CIGNA
Arizona MEDICAID 054768 CIGNA
Arizona Other 18032746 CIGNA
Arizona Other 20243 CIGNA
Arizona MEDICAID P054768 CIGNA
Arizona Other 8607474153000 CIGNA

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