Reddick, Trudy

Reddick, Trudy is an individual health care provider with primary practice located at 13075 W Mcdowell Rd Ste D106, Avondale AZ 85323-6436. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Reddick, Trudy can be contacted via phone (480) 776-1588.

Contact Information

Primary practice address
13075 W Mcdowell Rd Ste D106 Avondale AZ 85323-6436
Phone: (480) 776-1588
Fax: (623) 547-0521
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3221 Arizona

Profile Details

NPI number 1194753095
LBN Legal business name Reddick, Trudy
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Apr 10th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1194753095 NPPES
Arizona MEDICAID 973033

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