Nottingham, Jon

Nottingham, Jon is an individual health care provider with primary practice located at 4331 E Baseline Rd Ste B106-625, Gilbert AZ 85234-2961. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Nottingham, Jon can be contacted via phone (480) 834-1211.

Contact Information

Primary practice address
4331 E Baseline Rd Ste B106-625 Gilbert AZ 85234-2961
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 15176 Washington

Profile Details

NPI number 1851337240
LBN Legal business name Nottingham, Jon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Dec 14th, 2007 - about 17 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 1851337240 NPPES
Arizona MEDICAID 754102

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