Medlen, John C
Medlen, John C is an sole proprietor health care provider with primary practice located at 1701 W St Mary'S Rd Suite 145, Tucson AZ 85745-2683. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Medlen, John C can be contacted via phone (520) 624-0888.Contact Information
Primary practice address
1701 W St Mary'S Rd Suite 145
Tucson AZ 85745-2683
Phone: (520) 624-0888
Fax: (520) 624-0091
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 12924 | Arizona |
Profile Details
NPI number | 1902871585 |
---|---|
LBN Legal business name | Medlen, John C |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 17th, 2006 |
Last updated | Mar 4th, 2010 - about 14 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 | 1902871585 | NPPES |
Arizona | MEDICAID | 236069 |
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