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Contact Information

LAURIE M BANNICK JUNGE, M.S.E.
4650 W. SWEETWATER AVENUE
GLENDALE, AZ85304
 Phone: 602-347-2600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Local Education Agency (LEA)

251300000X
Indicates primary specialty

NPI Profile & details for LAURIE M BANNICK JUNGE · (Female)

NPI # 1629299219
Status Active
Credentials M.S.E.
Entity Individual
Enumeration date 05/01/2007
Last updated 07/25/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ Medicaid 621947
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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