Dunn, Jack D

Dunn, Jack D is an individual health care provider with primary practice located at 2130 Mesquite Ave Unit 108 , Lake Havasu City AZ 86403-6897. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Dunn, Jack D can be contacted via phone (928) 854-9433.

Contact Information

Primary practice address
2130 Mesquite Ave Unit 108 Lake Havasu City AZ 86403-6897
Phone: (928) 854-9433
Fax: (928) 854-9443
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 22884 Arizona

Profile Details

NPI number 1598750820
LBN Legal business name Dunn, Jack D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Jul 21st, 2022 - about 2 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 1598750820 NPPES
Arizona Other 300113271 RAILROAD MEDICARE
Arizona MEDICAID 218067 RAILROAD MEDICARE

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