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:
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Health care specialties

SpecialtyCodeLicense #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 18 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 1376768358 NPPES
Arizona MEDICAID 125727

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