Demulder, Jodie Lee
Demulder, Jodie Lee is an sole proprietor health care provider with primary practice located at 33606 N 60Th St , Scottsdale AZ 85262-5243. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Demulder, Jodie Lee can be contacted via phone (480) 575-2149.Contact Information
Primary practice address
33606 N 60Th St
Scottsdale AZ 85262-5243
Phone: (480) 575-2149
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | Arizona |
Profile Details
| NPI number | 1356483986 |
|---|---|
| LBN Legal business name | Demulder, Jodie Lee |
| Credentials | MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 12th, 2007 |
| Last updated | Jul 26th, 2007 - about 18 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 | 1356483986 | NPPES |
| Arizona | MEDICAID | 910621 |
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