Verschoor, John

Verschoor, John is an individual health care provider with primary practice located at 6553 E Baywood Avenue Suite 103, Mesa AZ 85206. 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. Verschoor, John can be contacted via phone (480) 985-6200.

Contact Information

Primary practice address
6553 E Baywood Avenue Suite 103 Mesa AZ 85206
Phone: (480) 985-6200
Fax: (480) 985-2951
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1194 Arizona

Profile Details

NPI number 1467419739
LBN Legal business name Verschoor, John
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Jul 8th, 2007 - about 18 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 1467419739 NPPES
Arizona MEDICAID 565038

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