Cantley, Lorettta
Cantley, Lorettta is an sole proprietor health care provider with primary practice located at 2501 N 114Th Ave , Avondale AZ 85323-5034. She recently has only one registered license in Respite Care Facility / Respite Care, Mental Illness, Child, which is considered as her primary health care specialty. Cantley, Lorettta can be contacted via phone (623) 478-7420.Contact Information
Primary practice address
2501 N 114Th Ave
Avondale AZ 85323-5034
Phone: (623) 478-7420
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respite Care Facility / Respite Care, Mental Illness, Child | 385HR2055X | 9845 | Arizona |
Profile Details
| NPI number | 1174698625 |
|---|---|
| LBN Legal business name | Cantley, Lorettta |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 21st, 2006 |
| Last updated | Jul 8th, 2007 - 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 | 1174698625 | NPPES |
| Other | 944927 | AHCCCS ID NUMBER |
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