Hefner, Sophia

Hefner, Sophia is an sole proprietor health care provider with primary practice located at 1453 N Main St. Suite F , San Luis AZ 85349. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Hefner, Sophia can be contacted via phone (928) 627-6567.

Contact Information

Primary practice address
1453 N Main St. Suite F San Luis AZ 85349
Fax: (928) 722-7025
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X Arizona

Profile Details

NPI number 1891811709
LBN Legal business name Hefner, Sophia
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2007
Last updated Jul 26th, 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 1891811709 NPPES
Arizona Other 171266 AHCCCS

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