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Contact Information

JAMIE M SULLWOLD, MA
924 N COUNTRY CLUB DR
MESA, AZ85201-4108
 Phone: 480-969-3800
 Fax: 480-834-7003
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Technician

374700000X
Indicates primary specialty

NPI Profile & details for JAMIE M SULLWOLD · (Female)

NPI Number 1831256361
Status Active
Credentials MA
Entity Individual
Enumeration date 01/03/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers Not Available
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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