Egbert, Jace

Egbert, Jace is an sole proprietor health care provider with primary practice located at 560 N Camino Mercado Ste 7 , Casa Grande AZ 85122-5759. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Behavior Technician, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Egbert, Jace can be contacted via phone (520) 836-5538.

Contact Information

Primary practice address
560 N Camino Mercado Ste 7 Casa Grande AZ 85122-5759
Phone: (520) 836-5538
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10001 Arizona

Profile Details

NPI number 1194356238
LBN Legal business name Egbert, Jace
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 28th, 2020
Last updated Oct 17th, 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.

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