Daniels, Jessica

Daniels, Jessica is an individual health care provider with primary practice located at 350 W Thomas Rd , Phoenix AZ 85013-4409. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Daniels, Jessica can be contacted via phone (602) 406-3402.

Contact Information

Primary practice address
350 W Thomas Rd Phoenix AZ 85013-4409
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X R70164 Arizona

Profile Details

NPI number 1427296490
LBN Legal business name Daniels, Jessica
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2009
Last updated Aug 7th, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1427296490 NPPES
Arizona MEDICAID 708206

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