Mayboroda, Iggy

Mayboroda, Iggy is an sole proprietor health care provider with primary practice located at 4149 E Betsy Ln , Gilbert AZ 85296-9623. He recently has only one registered license in Other Service Providers / Naturopath, which is considered as his primary health care specialty. Mayboroda, Iggy can be contacted via phone (480) 600-0807.

Contact Information

Primary practice address
4149 E Betsy Ln Gilbert AZ 85296-9623
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Naturopath 175F00000X 099.0084660 Vermont
Other Service Providers / Naturopath 175F00000X ND-535 California

Profile Details

NPI number 1427323245
LBN Legal business name Mayboroda, Iggy
Credentials N.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 12th, 2012
Last updated Oct 2nd, 2013 - about 11 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 1427323245 NPPES
Vermont Other 099.0084660 CREDENTIAL #
Vermont Other NDF-535 CREDENTIAL #

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