Proudfoot, Jeffrey C

Proudfoot, Jeffrey C is an sole proprietor health care provider with primary practice located at 1919 E Thomas Rd , Phoenix AZ 85016-7710. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as his primary health care specialty. Proudfoot, Jeffrey C can be contacted via phone (602) 546-1000.

Contact Information

Primary practice address
1919 E Thomas Rd Phoenix AZ 85016-7710
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 2668 Arizona

Profile Details

NPI number 1043271463
LBN Legal business name Proudfoot, Jeffrey C
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043271463 NPPES
Arizona MEDICAID 177255

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