Wells, Joan

Wells, Joan is an sole proprietor health care provider with primary practice located at 19432 N 3Rd Dr , Phoenix AZ 85027-4701. She recently has only one registered license in Respite Care Facility / Respite Care, Mental Illness, Child, which is considered as her primary health care specialty. Wells, Joan can be contacted via phone (623) 869-8692.

Contact Information

Primary practice address
19432 N 3Rd Dr Phoenix AZ 85027-4701
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Respite Care Facility / Respite Care, Mental Illness, Child 385HR2055X 3918 Arizona

Profile Details

NPI number 1720154800
LBN Legal business name Wells, Joan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 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 1720154800 NPPES
Arizona Other 740937 AHCCCS ID NUMBER

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