Etsitty, Gerald

Etsitty, Gerald is an sole proprietor health care provider with primary practice located at 500 South Navajo Drive , Page AZ 86040. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Etsitty, Gerald can be contacted via phone (928) 608-1505.

Contact Information

Primary practice address
500 South Navajo Drive Page AZ 86040
Phone: (928) 608-1505
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 4389376 Arizona

Profile Details

NPI number 1972885267
LBN Legal business name Etsitty, Gerald
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2011
Last updated Sep 13th, 2011 - about 13 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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