Dumbolton, Jennifer

Dumbolton, Jennifer is an sole proprietor health care provider with primary practice located at 122 E Main St , Payson AZ 85541-5574. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Dumbolton, Jennifer can be contacted via phone (928) 474-2888.

Contact Information

Primary practice address
122 E Main St Payson AZ 85541-5574
Phone: (928) 474-2888
Fax: (928) 474-2992
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R-7684 Iowa
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 005119 Arizona

Profile Details

NPI number 1255488557
LBN Legal business name Dumbolton, Jennifer
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 5th, 2007
Last updated Dec 30th, 2008 - about 17 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 1255488557 NPPES
Arizona MEDICAID 386378
Arizona MEDICAID 0476960

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