Dostalek, Patricia Suzanne

Dostalek, Patricia Suzanne is an individual health care provider with primary practice located at 5301 E Grant Rd Obstetrix Medical Group Of Az, P.C., Tucson AZ 85712-2805. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Dostalek, Patricia Suzanne can be contacted via phone (520) 881-3936.

Contact Information

Primary practice address
5301 E Grant Rd Obstetrix Medical Group Of Az, P.C. Tucson AZ 85712-2805
Phone: (520) 881-3936
Fax: (520) 795-0626
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 080636 Arizona

Profile Details

NPI number 1306808670
LBN Legal business name Dostalek, Patricia Suzanne
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Feb 25th, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1306808670 NPPES
Arizona MEDICAID 157924
Arizona Other 080636
Arizona Other 166
Arizona Other 102
Arizona Other 216287
Arizona Other 00145
Arizona Other 40189

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