Vandruff, John
Vandruff, John is an individual health care provider with primary practice located at 111 W Cedar Ln Suite A, Payson AZ 85541-5417. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Vandruff, John can be contacted via phone (928) 472-4675.Contact Information
Primary practice address
111 W Cedar Ln Suite A
Payson AZ 85541-5417
Phone: (928) 472-4675
Fax: (928) 472-3431
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 15630 | Arizona |
Profile Details
| NPI number | 1700885563 |
|---|---|
| LBN Legal business name | Vandruff, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2005 |
| Last updated | May 11th, 2020 - about 5 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 | 1700885563 | NPPES |
| Arizona | MEDICAID | 271122 | |
| Arizona | Other | AZ0850760 |
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