Sturdivant, Jalicia

Sturdivant, Jalicia is an individual health care provider with primary practice located at 15351 W Bell Rd , Surprise AZ 85374-4580. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Sturdivant, Jalicia can be contacted via phone (480) 964-2273.

Contact Information

Primary practice address
15351 W Bell Rd Surprise AZ 85374-4580
Phone: (480) 964-2273
Fax: (623) 214-5214
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 95609 Georgia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 010924 Arizona

Profile Details

NPI number 1750919023
LBN Legal business name Sturdivant, Jalicia
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2020
Last updated Jun 20th, 2024 - about 2 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 1750919023 NPPES
Arizona MEDICAID 201144

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