Godfrey, Adam Robert
Godfrey, Adam Robert is an sole proprietor health care provider with primary practice located at 13801 E Benson Hwy , Vail AZ 85641-9074. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Godfrey, Adam Robert can be contacted via phone (520) 879-2440.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | 3690822 | Arizona |
Profile Details
| NPI number | 1659585404 |
|---|---|
| LBN Legal business name | Godfrey, Adam Robert |
| Credentials | SSP, NASP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 10th, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659585404 | NPPES |
| Arizona | MEDICAID | 968224 |
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