Pendergraft, Amy

Pendergraft, Amy is an sole proprietor health care provider with primary practice located at 1400 S Dobson Rd , Mesa AZ 85202-4707. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Pediatric, which is considered as her primary health care specialty. Pendergraft, Amy can be contacted via phone (480) 412-7863.

Contact Information

Primary practice address
1400 S Dobson Rd Mesa AZ 85202-4707
Phone: (480) 412-7863
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X 879769 New Mexico

Profile Details

NPI number 1720436645
LBN Legal business name Pendergraft, Amy
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 1st, 2016
Last updated Jun 1st, 2016 - about 8 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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