Jeffries, Alva Reene

Jeffries, Alva Reene is an sole proprietor health care provider with primary practice located at 19871 W Freemont Rd , Buckeye AZ 85326-9512. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Jeffries, Alva Reene can be contacted via phone (623) 474-6671.

Contact Information

Primary practice address
19871 W Freemont Rd Buckeye AZ 85326-9512
Phone: (623) 474-6671
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X 3785087 Arizona

Profile Details

NPI number 1770899296
LBN Legal business name Jeffries, Alva Reene
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 21st, 2010
Last updated Aug 21st, 2010 - about 14 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 1770899296 NPPES
Arizona Other 690976/1043419641 AHCCCS
Arizona MEDICAID 86-60000493 AHCCCS

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