Packard, Joel

Packard, Joel is an sole proprietor health care provider with primary practice located at 50 Pine Del Dr , Flagstaff AZ 86005-9603. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Packard, Joel can be contacted via phone (928) 699-6786.

Contact Information

Primary practice address
50 Pine Del Dr Flagstaff AZ 86005-9603
Phone: (928) 699-6786
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X

Profile Details

NPI number 1972990851
LBN Legal business name Packard, Joel
Credentials CSFA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2015
Last updated Aug 15th, 2015 - about 10 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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