Such, Allan
Such, Allan is an individual health care provider with primary practice located at 1485 N Turquoise Dr Suite 200, Flagstaff AZ 86001-1398. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Such, Allan can be contacted via phone (928) 774-7757.Contact Information
Primary practice address
1485 N Turquoise Dr Suite 200
Flagstaff AZ 86001-1398
Phone: (928) 774-7757
Fax: (928) 226-3071
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2653 | Arizona |
Profile Details
| NPI number | 1316973720 |
|---|---|
| LBN Legal business name | Such, Allan |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 25th, 2006 |
| Last updated | Sep 2nd, 2016 - about 8 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 | 1316973720 | NPPES |
| Arizona | MEDICAID | 708670 |
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