Vaughn, Jeffrey M

Vaughn, Jeffrey M is an individual health care provider with primary practice located at 1919 E Thomas Rd , Phoenix AZ 85016-7710. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery is his primary health care specialty. Vaughn, Jeffrey M can be contacted via phone (602) 933-3033.

Contact Information

Primary practice address
1919 E Thomas Rd Phoenix AZ 85016-7710
Phone: (602) 933-3033
Fax: (602) 241-0292
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 231349 Massachusetts
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 5037 Arizona
Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery 207XP3100X 5037 Arizona

Profile Details

NPI number 1578753612
LBN Legal business name Vaughn, Jeffrey M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2007
Last updated Jan 11th, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578753612 NPPES
Arizona MEDICAID 373223

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