Alan, Todd J
Alan, Todd J is an individual health care provider with primary practice located at 7219 N Litchfield Rd , Luke Afb AZ 85309-1529. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Alan, Todd J can be contacted via phone (623) 856-2273.Contact Information
Primary practice address
7219 N Litchfield Rd
Luke Afb AZ 85309-1529
Phone: (623) 856-2273
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 23409 | Nebraska |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 49059 | Arizona |
Profile Details
NPI number | 1083620090 |
---|---|
LBN Legal business name | Alan, Todd J |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 31st, 2006 |
Last updated | Jun 27th, 2023 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1083620090 | NPPES |
Nebraska | MEDICAID | 47055301100 |
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