Hammonds, John Edgar Alan

Hammonds, John Edgar Alan is an sole proprietor health care provider with primary practice located at 5620 W Thunderbird Rd Ste F1 , Glendale AZ 85306-4652. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as his primary health care specialty. Hammonds, John Edgar Alan can be contacted via phone (602) 938-6960.

Contact Information

Primary practice address
5620 W Thunderbird Rd Ste F1 Glendale AZ 85306-4652
Phone: (602) 938-6960
Fax: (602) 938-6069
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X AP10070 Arizona

Profile Details

NPI number 1518494020
LBN Legal business name Hammonds, John Edgar Alan
Credentials CRNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2017
Last updated Dec 18th, 2018 - about 6 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 1518494020 NPPES
Arizona MEDICAID 26-0234675

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