Jicha, George J

Jicha, George J is an individual health care provider with primary practice located at 1800 E Florence Blvd , Casa Grande AZ 85222-5303. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Jicha, George J can be contacted via phone (520) 381-6300.

Contact Information

Primary practice address
1800 E Florence Blvd Casa Grande AZ 85222-5303
Phone: (520) 381-6300
Fax: (520) 381-6618
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2388 Arizona

Profile Details

NPI number 1962474361
LBN Legal business name Jicha, George J
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Aug 20th, 2012 - about 12 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 1962474361 NPPES
Arizona MEDICAID 548745

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