Amon, John Brock
Amon, John Brock is an individual health care provider with primary practice located at 2911 South 8Th Avenue , Yuma AZ 85364-8000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Amon, John Brock can be contacted via phone (928) 783-3050.Contact Information
Primary practice address
2911 South 8Th Avenue
Yuma AZ 85364-8000
Phone: (928) 783-3050
Fax: (928) 783-7783
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 32952 | Arizona |
Profile Details
| NPI number | 1750302402 |
|---|---|
| LBN Legal business name | Amon, John Brock |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Aug 12th, 2008 - about 17 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 | 1750302402 | NPPES |
| Arizona | MEDICAID | 0095399401 | |
| Arizona | MEDICAID | 953994 | |
| Arizona | Other | ZWMBKJ |
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