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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1083620090 NPPES
Nebraska MEDICAID 47055301100

Popular Providers