Haydon, John R

Haydon, John R is an sole proprietor health care provider with primary practice located at 14537 W Indian School Rd 700, Goodyear AZ 85395-9243. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Haydon, John R can be contacted via phone (623) 935-0247.

Contact Information

Primary practice address
14537 W Indian School Rd 700 Goodyear AZ 85395-9243
Fax: (623) 935-2209
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 28948 Arizona

Profile Details

NPI number 1144288788
LBN Legal business name Haydon, John R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2006
Last updated Nov 28th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1144288788 NPPES
Arizona Other 4336034 AETNA
Arizona Other 070015600 AETNA
Arizona MEDICAID 610071 AETNA
Arizona Other AZ0885120 AETNA
Arizona Other 2087057 AETNA
Arizona Other 1Z5865 AETNA
Arizona Other 1467402933 AETNA
Arizona Other 188961600 AETNA
Arizona Other 1144288788 AETNA
Arizona Other 99S0070000010 AETNA

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