Jolley, David Wayne

Jolley, David Wayne is an individual health care provider with primary practice located at 3601 S 6Th Ave 2-112, Tucson AZ 85723. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Jolley, David Wayne can be contacted via phone (520) 792-1450.

Contact Information

Primary practice address
3601 S 6Th Ave 2-112 Tucson AZ 85723
Phone: (520) 792-1450
Fax: (520) 629-1706
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 286416-0501 Utah

Profile Details

NPI number 1821183286
LBN Legal business name Jolley, David Wayne
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated May 22nd, 2018 - about 6 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 1821183286 NPPES
Utah Other 286416-0501 UT STATE DOPL

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