NPI Search for Physicians and Health Care Providers
MR. JERRY LEE BEGAY
>> Chore Provider >> Nursing Service Related ProvidersRegistrant NPI Number: 1750506382
Individual Registrant:
MR. JERRY LEE BEGAY
Gender: M
Sole Proprietor
Location and contact information for practice:
2.5 MI WEST MP 0 NAVAJO ROUTE 5 INDIAN WELL, AZ 86031-0636 US
Tel: 602-363-4901 Fax: --
Contact information for business:
PO BOX 636 HOLBROOK, AZ 86025-0636 US
Tel: 602-363-4901 Fax: --
Registration Information:
NPI: 1750506382
Entity Type: Individual
Specialty information:
Primary | Code | Category/Description | State | License Number |
---|
X | 372500000X | Nursing Service Related Providers Chore Provider
| | |
X | 372600000X | Nursing Service Related Providers Adult Companion | | |
X | 3747A0650X | Nursing Service Related Providers Technician | | |
X | 3747P1801X | Nursing Service Related Providers Technician | | |
X | 374U00000X | Nursing Service Related Providers Home Health Aide | | |
X | 376J00000X | Nursing Service Related Providers Homemaker | | |
Legacy codes, insurance codes and state license numbers:
Issuer | Number | State | Type |
---|
AHCCCS PROVIDER ID NUMBER | 630203 | AZ | 01 |
HEALTH CARE JOBS AZ - Page 1