Dameworth, Jonathan L
Dameworth, Jonathan L is an sole proprietor health care provider with primary practice located at 500 W Thomas Rd Ste 400 , Phoenix AZ 85013-4238. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Dameworth, Jonathan L can be contacted via phone (602) 406-3874.Contact Information
Primary practice address
500 W Thomas Rd Ste 400
Phoenix AZ 85013-4238
Phone: (602) 406-3874
Fax: (602) 406-2335
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | 64001 | Arizona |
Profile Details
NPI number | 1194102772 |
---|---|
LBN Legal business name | Dameworth, Jonathan L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 2nd, 2015 |
Last updated | Aug 24th, 2021 - about 4 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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