Wiggenhorn, Jonathan J
Wiggenhorn, Jonathan J is an sole proprietor health care provider with primary practice located at 2700 N 140Th Avenue Ste 107, Goodyear AZ 85395. He recently has only one registered license in Allopathic & Osteopathic Physicians / Facial Plastic Surgery, which is considered as his primary health care specialty. Wiggenhorn, Jonathan J can be contacted via phone (623) 353-8770.Contact Information
Primary practice address
2700 N 140Th Avenue Ste 107
Goodyear AZ 85395
Phone: (623) 353-8770
Fax: (623) 353-8771
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Facial Plastic Surgery | 207YS0123X | 4738 | Arizona |
Profile Details
| NPI number | 1417983230 |
|---|---|
| LBN Legal business name | Wiggenhorn, Jonathan J |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 23rd, 2006 |
| Last updated | Aug 17th, 2020 - about 4 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 | 1417983230 | NPPES |
| Arizona | MEDICAID | 272504 |
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