Ostrom, Jonnae Y
Ostrom, Jonnae Y is an individual health care provider with primary practice located at 2121 N Craycroft Rd Bldg 5 , Tucson AZ 85712-2801. She recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, which is considered as her primary health care specialty. Ostrom, Jonnae Y can be contacted via phone (520) 296-8500.Contact Information
Primary practice address
2121 N Craycroft Rd Bldg 5
Tucson AZ 85712-2801
Phone: (520) 296-8500
Fax: (520) 495-7533
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery | 207YX0905X | 59889 | Arizona |
Profile Details
| NPI number | 1972915403 |
|---|---|
| LBN Legal business name | Ostrom, Jonnae Y |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2014 |
| Last updated | Aug 7th, 2020 - about 5 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 | 1972915403 | NPPES |
| Arizona | MEDICAID | 006381 |
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