Salas, Alfonso
Salas, Alfonso is an sole proprietor health care provider with primary practice located at 7734 N 59Th Ave , Glendale AZ 85301-7816. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Salas, Alfonso can be contacted via phone (623) 931-2444.Contact Information
Primary practice address
7734 N 59Th Ave
Glendale AZ 85301-7816
Phone: (623) 931-2444
Fax: (623) 931-1099
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 30202 | Arizona |
Profile Details
| NPI number | 1689644296 |
|---|---|
| LBN Legal business name | Salas, Alfonso |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689644296 | NPPES |
| Arizona | MEDICAID | 689854 |
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