Tarazon, Gregory

Tarazon, Gregory is an sole proprietor health care provider with primary practice located at 2019 W Vineyard Plains Dr , Queen Creek AZ 85242-6378. He recently has only one registered license in Respite Care Facility / Respite Care, Mental Illness, Child, which is considered as his primary health care specialty. Tarazon, Gregory can be contacted via phone (480) 655-5286.

Contact Information

Primary practice address
2019 W Vineyard Plains Dr Queen Creek AZ 85242-6378
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Respite Care Facility / Respite Care, Mental Illness, Child 385HR2055X 10045 Arizona

Profile Details

NPI number 1639243512
LBN Legal business name Tarazon, Gregory
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 20th, 2006
Last updated Jul 8th, 2007 - about 17 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 1639243512 NPPES
Arizona Other 965840 AHCCCS

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