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Contact Information

ALFRED J. JUAN SR.
HOUSE AZ. 26-24-CH47
A J MEDICAL TRANSPORT SAN ISIDRO COMM.
SELLS, AZ85634
 Phone: 520-383-1400
 Fax: 520-383-1400
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medical Technician, Basic

146N00000X
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ALFRED J JUAN SR · (Female)

NPI Number 1679789309
Status Active
Credentials
Entity Individual
Enumeration date 05/16/2007
Last updated 12/27/2011 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • AZ License # AZ47621
  • AZ License # B40530
  • AZ License # LP029559
  • AZ Medicaid 293808
  • AZ Other 487828 AVAILITY
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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