Madrone, Gabriel Isa
Madrone, Gabriel Isa is an individual health care provider with primary practice located at 800 N Apache Ave 1100 Colorado Ave, Winslow AZ 86047-3819. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Madrone, Gabriel Isa can be contacted via phone (928) 288-8300.Contact Information
Primary practice address
800 N Apache Ave 1100 Colorado Ave
Winslow AZ 86047-3819
Phone: (928) 288-8300
Fax: (928) 288-8393
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | Arizona |
Profile Details
NPI number | 1376768358 |
---|---|
LBN Legal business name | Madrone, Gabriel Isa |
Credentials | Master of Arts (MA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 16th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1376768358 | NPPES |
Arizona | MEDICAID | 125727 |
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