Giacoletto, Laurie

Giacoletto, Laurie is an individual health care provider with primary practice located at 407 N Lindsay Rd Ste 103-104 , Mesa AZ 85213-7710. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Giacoletto, Laurie can be contacted via phone (480) 807-0084.

Contact Information

Primary practice address
407 N Lindsay Rd Ste 103-104 Mesa AZ 85213-7710
Phone: (480) 807-0084
Fax: (480) 807-0091
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9289 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5413 Arizona

Profile Details

NPI number 1477539138
LBN Legal business name Giacoletto, Laurie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
Last updated Apr 16th, 2015 - about 10 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 1477539138 NPPES
Other Z162194 MEDICARE PTAN
MEDICAID 859739 MEDICARE PTAN

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