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
Phone: (480) 834-1211
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1851337240 | NPPES |
Arizona | MEDICAID | 754102 |
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