Daradici, Jodi
Daradici, Jodi is an sole proprietor health care provider with primary practice located at 16610 N 19Th St , Phoenix AZ 85022-6259. 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. Daradici, Jodi can be contacted via phone (602) 795-3971.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respite Care Facility / Respite Care, Mental Illness, Child | 385HR2055X | 5810 | Arizona |
Profile Details
| NPI number | 1548336811 |
|---|---|
| LBN Legal business name | Daradici, Jodi |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 28th, 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 | 1548336811 | NPPES |
| Arizona | Other | 825713 | AHCCCS ID NUMBER |
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