Dawson, Jamie Roshun
Dawson, Jamie Roshun is an sole proprietor health care provider with primary practice located at 13229 S 48Th St Apt 3051 , Phoenix AZ 85044. He recently has 2 registered licenses in different health care specialties including Respite Care Facility / Respite Care, Mental Illness, Child, Other Service Providers / Contractor. Other Service Providers / Contractor is his primary health care specialty. Dawson, Jamie Roshun can be contacted via phone (501) 952-1976.Contact Information
Primary practice address
13229 S 48Th St Apt 3051
Phoenix AZ 85044
Phone: (501) 952-1976
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respite Care Facility / Respite Care, Mental Illness, Child | 385HR2055X | 10125986 | Arizona |
| Other Service Providers / Contractor | 171W00000X | 10125986 | Arizona |
Profile Details
| NPI number | 1023637345 |
|---|---|
| LBN Legal business name | Dawson, Jamie Roshun |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 16th, 2020 |
| Last updated | Sep 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023637345 | NPPES |
| Arizona | Other | 10125986 | AZ DEPT OF HEALTH SERVICES |
| Arizona | Other | 1023637345 | AZ DEPT OF HEALTH SERVICES |
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