Chavira, William A

Chavira, William A is an sole proprietor health care provider with primary practice located at 600 W Thomas Rd , Phoenix AZ 85013-4213. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Chavira, William A can be contacted via phone (602) 234-9611.

Contact Information

Primary practice address
600 W Thomas Rd Phoenix AZ 85013-4213
Fax: (602) 234-0011
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 28008 Arizona

Profile Details

NPI number 1144326422
LBN Legal business name Chavira, William A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2006
Last updated Sep 1st, 2011 - about 15 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 1144326422 NPPES
Arizona MEDICAID 497653

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