Dursteler, Jennifer Graham

Dursteler, Jennifer Graham is an individual health care provider with primary practice located at 13677 W Mcdowell Rd , Goodyear AZ 85338-2618. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Dursteler, Jennifer Graham can be contacted via phone (623) 882-1500.

Contact Information

Primary practice address
13677 W Mcdowell Rd Goodyear AZ 85338-2618
Phone: (623) 882-1500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2709 Arizona

Profile Details

NPI number 1740262724
LBN Legal business name Dursteler, Jennifer Graham
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Apr 9th, 2013 - about 11 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 1740262724 NPPES
Arizona Other AW1436 HEALTHNET GROUP #
Arizona Other 453051001 HEALTHNET GROUP #
Arizona MEDICAID 762155 HEALTHNET GROUP #
Arizona Other 860373636 HEALTHNET GROUP #
Arizona Other 3981220 HEALTHNET GROUP #

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