Shadfar, Zina
Shadfar, Zina is an individual health care provider with primary practice located at Highway 264 Milepost 388 , Polacca AZ 86042. She recently has only one registered license in Nursing Service Providers / Medical-Surgical, which is considered as her primary health care specialty. Shadfar, Zina can be contacted via phone (928) 737-6000.Contact Information
Primary practice address
Highway 264 Milepost 388
Polacca AZ 86042
Phone: (928) 737-6000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Medical-Surgical | 163WM0705X | 870062 | Texas |
Profile Details
| NPI number | 1053034017 |
|---|---|
| LBN Legal business name | Shadfar, Zina |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 23rd, 2022 |
| Last updated | Sep 23rd, 2022 - about 2 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 | 1053034017 | NPPES |
| Arizona | MEDICAID | 020529 |
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