Wounded Face, Billie Jo
Wounded Face, Billie Jo is an individual health care provider with primary practice located at 2400 S Ave A , Yuma AZ 85364-7127. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Wounded Face, Billie Jo can be contacted via phone (701) 421-7538.Contact Information
Primary practice address
2400 S Ave A
Yuma AZ 85364-7127
Phone: (701) 421-7538
Fax: (928) 336-7508
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 2676 | Arizona |
Profile Details
| NPI number | 1801864707 |
|---|---|
| LBN Legal business name | Wounded Face, Billie Jo |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Oct 24th, 2008 - about 16 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 | 1801864707 | NPPES |
| Arizona | MEDICAID | 329434 |
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