Jan, Mindy

Jan, Mindy is an individual health care provider with primary practice located at 1645 N Swan Rd , Tucson AZ 85712-4046. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Jan, Mindy can be contacted via phone (520) 327-6265.

Contact Information

Primary practice address
1645 N Swan Rd Tucson AZ 85712-4046
Fax: (520) 327-9300
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 33714 Arizona

Profile Details

NPI number 1902804974
LBN Legal business name Jan, Mindy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Oct 4th, 2021 - about 4 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 1902804974 NPPES
Arizona MEDICAID 917958

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