Surette, Iris H
Surette, Iris H is an individual health care provider with primary practice located at 805 E Fremont Tombstone Unified School Dist, Tombstone AZ 85638. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Surette, Iris H can be contacted via phone (520) 456-9842.Contact Information
Primary practice address
805 E Fremont Tombstone Unified School Dist
Tombstone AZ 85638
Phone: (520) 456-9842
Fax: (520) 457-3720
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | Arizona |
Profile Details
| NPI number | 1346349149 |
|---|---|
| LBN Legal business name | Surette, Iris H |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Jul 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346349149 | NPPES |
| Arizona | MEDICAID | 620220 |
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