Destefano, George
Destefano, George is an sole proprietor health care provider with primary practice located at 1200 N Beaver St , Flagstaff AZ 86001-3118. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care, which is considered as his primary health care specialty. Destefano, George can be contacted via phone (928) 779-3366.Contact Information
Primary practice address
1200 N Beaver St
Flagstaff AZ 86001-3118
Phone: (928) 779-3366
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care | 363LN0005X | RN083316 | Arizona |
Profile Details
NPI number | 1235386913 |
---|---|
LBN Legal business name | Destefano, George |
Credentials | Registered Nurse (RN) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 25th, 2008 |
Last updated | Nov 19th, 2009 - about 15 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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