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
Fax: (520) 624-0091
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902871585 NPPES
Arizona MEDICAID 236069

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