Newborn, Odie Vernon
Newborn, Odie Vernon is an sole proprietor health care provider with primary practice located at 12033 Agency Rd , Parker AZ 85344-7718. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Newborn, Odie Vernon can be contacted via phone (928) 669-3300.Contact Information
Primary practice address
12033 Agency Rd
Parker AZ 85344-7718
Phone: (928) 669-3300
Fax: (928) 669-3131
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 11546 | Tennessee |
Profile Details
| NPI number | 1275623183 |
|---|---|
| LBN Legal business name | Newborn, Odie Vernon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 13th, 2006 |
| Last updated | Feb 12th, 2009 - about 15 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 | 1275623183 | NPPES |
| Arizona | MEDICAID | 020537 | |
| Arizona | Other | AZ0201750 |
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