Robbeloth, Jonathan

Robbeloth, Jonathan is an sole proprietor health care provider with primary practice located at 503 E Sterling Canyon Dr , Vail AZ 85641-2289. He recently has 2 registered licenses in different health care specialties including Respite Care Facility / Respite Care, Mental Illness, Child, Agencies / Foster Care Agency. Agencies / Foster Care Agency is his primary health care specialty. Robbeloth, Jonathan can be contacted via phone (520) 304-9422.

Contact Information

Primary practice address
503 E Sterling Canyon Dr Vail AZ 85641-2289
Phone: (520) 304-9422
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respite Care Facility / Respite Care, Mental Illness, Child 385HR2055X 6173528 Arizona
Agencies / Foster Care Agency 253J00000X

Profile Details

NPI number 1891192126
LBN Legal business name Robbeloth, Jonathan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 2nd, 2014
Last updated Aug 11th, 2021 - about 4 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 1891192126 NPPES
Arizona MEDICAID 972921

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