Condon, Eva J
Condon, Eva J is an individual health care provider with primary practice located at 300 W Clarendon Ave 375, Phoenix AZ 85013-3420. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Condon, Eva J can be contacted via phone (602) 277-4161.Contact Information
Primary practice address
300 W Clarendon Ave 375
Phoenix AZ 85013-3420
Phone: (602) 277-4161
Fax: (602) 274-3394
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 25289 | Arizona |
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 25289 | Arizona |
Profile Details
| NPI number | 1194751420 |
|---|---|
| LBN Legal business name | Condon, Eva J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2006 |
| Last updated | Oct 8th, 2009 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194751420 | NPPES |
| Arizona | MEDICAID | 384420 |
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