Sarmiento, Jennifer Dawn

Sarmiento, Jennifer Dawn is an individual health care provider with primary practice located at 377 N Montezuma St Ste108A, Prescott AZ 86301-3020. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Sarmiento, Jennifer Dawn can be contacted via phone (928) 445-3808.

Contact Information

Primary practice address
377 N Montezuma St Ste108A Prescott AZ 86301-3020
Phone: (928) 445-3808
Fax: (928) 778-3559
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X AZ01235 Arizona

Profile Details

NPI number 1427139278
LBN Legal business name Sarmiento, Jennifer Dawn
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Jul 18th, 2014 - about 11 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 1427139278 NPPES
Arizona Other AZ0904090 BC/BS
Arizona MEDICAID 813354 BC/BS

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