San George, Janet R

San George, Janet R is an individual health care provider with primary practice located at 2141 E Warner Rd Suite 101, Tempe AZ 85284-3493. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. San George, Janet R can be contacted via phone (480) 969-8714.

Contact Information

Primary practice address
2141 E Warner Rd Suite 101 Tempe AZ 85284-3493
Phone: (480) 969-8714
Fax: (480) 464-0189
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP2552 Arizona

Profile Details

NPI number 1174659718
LBN Legal business name San George, Janet R
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2007
Last updated Jun 19th, 2012 - about 12 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 1174659718 NPPES
Arizona MEDICAID 220857

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