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Contact Information

ERIK DE JONGHE MD PC
1601 W ST MARYS RD
TUCSON, AZ85745
 Phone: 520-872-7383
 Fax: 520-872-7969
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for ERIK DE JONGHE MD PC

NPI Number 1710180401
LBN Legal business name ERIK DE JONGHE MD PC
Authorized official KIRSTEN FREDERIKSEN - (PRACTICE ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/08/2007
Last updated 07/21/2008 - About 18 years ago
Identifiers
AZ License # 31026
AZ Medicaid 805228
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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