Griego, Jose

Griego, Jose is an sole proprietor health care provider with primary practice located at 4650 W. Sweetwater , Glendale AZ 85304-1505. He recently has only one registered license in Agencies / Local Education Agency (LEA), which is considered as his primary health care specialty. Griego, Jose can be contacted via phone (602) 347-2600.

Contact Information

Primary practice address
4650 W. Sweetwater Glendale AZ 85304-1505
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Local Education Agency (LEA) 251300000X

Profile Details

NPI number 1194937029
LBN Legal business name Griego, Jose
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2007
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194937029 NPPES
Arizona MEDICAID 036269

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