Platt, Jeremy D.

Platt, Jeremy D. is an individual health care provider with primary practice located at 1001 Willow Creek Rd Ste 3100 , Prescott AZ 86301-1614. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Platt, Jeremy D. can be contacted via phone (928) 445-4818.

Contact Information

Primary practice address
1001 Willow Creek Rd Ste 3100 Prescott AZ 86301-1614
Phone: (928) 445-4818
Fax: (928) 445-4837
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 3348 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 3348 Arizona

Profile Details

NPI number 1720028095
LBN Legal business name Platt, Jeremy D.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Mar 23rd, 2023 - about last year

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 1720028095 NPPES
Arizona MEDICAID 629253

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