Yazzie, Anslem Gene
Yazzie, Anslem Gene is an sole proprietor health care provider with primary practice located at 119 S Spring St , Flagstaff AZ 86001-4472. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Yazzie, Anslem Gene can be contacted via phone (928) 853-2049.Contact Information
Primary practice address
119 S Spring St
Flagstaff AZ 86001-4472
Phone: (928) 853-2049
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | Arizona |
Profile Details
| NPI number | 1376691899 |
|---|---|
| LBN Legal business name | Yazzie, Anslem Gene |
| Credentials | M.S., M.A. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Jul 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376691899 | NPPES |
| Arizona | MEDICAID | 962713 |
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