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
Phone: (480) 655-5286
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1639243512 | NPPES |
Arizona | Other | 965840 | AHCCCS |
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