Welty, Edith

Welty, Edith is an individual health care provider with primary practice located at 2500 N Rose St , Flagstaff AZ 86004-3659. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Welty, Edith can be contacted via phone (928) 213-6121.

Contact Information

Primary practice address
2500 N Rose St Flagstaff AZ 86004-3659
Fax: (928) 213-6136
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 26261 Arizona

Profile Details

NPI number 1225006976
LBN Legal business name Welty, Edith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225006976 NPPES
Arizona MEDICAID 26261

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