Warden Dutton, Casey Dawn
Warden Dutton, Casey Dawn is an sole proprietor health care provider with primary practice located at 5770 S. Woodcrest Dr , Tucson AZ 85746-3245. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Warden Dutton, Casey Dawn can be contacted via phone (520) 294-1179.Contact Information
Primary practice address
5770 S. Woodcrest Dr
Tucson AZ 85746-3245
Phone: (520) 294-1179
Fax: (520) 750-0056
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X | 10037 | Arizona |
Profile Details
| NPI number | 1811028145 |
|---|---|
| LBN Legal business name | Warden Dutton, Casey Dawn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 8th, 2007 |
| Last updated | Jul 18th, 2008 - 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 | 1811028145 | NPPES |
| Arizona | MEDICAID | 945107 |
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