Dizon, Kenneth
Dizon, Kenneth is an individual health care provider with primary practice located at 5859 W Talavi Blvd Ste 100, Glendale AZ 85306-1870. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Dizon, Kenneth can be contacted via phone (602) 298-7777.Contact Information
Primary practice address
5859 W Talavi Blvd Ste 100
Glendale AZ 85306-1870
Phone: (602) 298-7777
Fax: (623) 930-6060
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 4682 | Arizona |
Profile Details
| NPI number | 1346252129 |
|---|---|
| LBN Legal business name | Dizon, Kenneth |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2006 |
| Last updated | Nov 27th, 2023 - about last year |
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 | 1346252129 | NPPES |
| Arizona | MEDICAID | 239042 |
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