Anderson, John Arthur

Anderson, John Arthur is an individual health care provider with primary practice located at 2432 W. Peoria Avenue Building 5, Suite 1114, Phoenix AZ 85029. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Driver, Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is his primary health care specialty. Anderson, John Arthur can be contacted via phone (602) 661-7488.

Contact Information

Primary practice address
2432 W. Peoria Avenue Building 5, Suite 1114 Phoenix AZ 85029
Phone: (602) 661-7488
Fax: (602) 661-7499
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X Arizona
Other Service Providers / Peer Specialist 175T00000X Arizona
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Arizona

Profile Details

NPI number 1457085771
LBN Legal business name Anderson, John Arthur
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2022
Last updated Jul 12th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457085771 NPPES
Arizona Other Y99000179 ARIZONA MOTOR VEHICLE DIVISION

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