Mourtsen, Debra Rockoff
Mourtsen, Debra Rockoff is an sole proprietor health care provider with primary practice located at 4005 E. Butler Ave. , Flagstaff AZ 86004. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Mourtsen, Debra Rockoff can be contacted via phone (928) 773-4122.Contact Information
Primary practice address
4005 E. Butler Ave.
Flagstaff AZ 86004
Phone: (928) 773-4122
Fax: (928) 773-4130
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / School | 163WS0200X | RN089668 | Arizona |
Profile Details
| NPI number | 1841324134 |
|---|---|
| LBN Legal business name | Mourtsen, Debra Rockoff |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 16th, 2007 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841324134 | NPPES |
| Arizona | MEDICAID | 550336 |
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