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Contact Information

JIMMY CREDO, RRT-NPS, RPFT
167 N. MAIN STREET
TUBA CITY, AZ86045
 Phone: 928-283-2596
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Function Technologist

2279P1006X
Indicates primary specialty

NPI Profile & details for JIMMY CREDO · (Male)

NPI Number 1982742813
Status Active
Credentials RRT-NPS, RPFT
Entity Individual
Enumeration date 02/02/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 5409
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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