Healthcare Provider Details

I. General information

NPI: 1750575171
Provider Name (Legal Business Name): JASSR INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2007
Last Update Date: 01/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9225 N 3RD ST STE 300
PHOENIX AZ
85020-2466
US

IV. Provider business mailing address

7776 E VIA SONRISA
SCOTTSDALE AZ
85258-4124
US

V. Phone/Fax

Practice location:
  • Phone: 602-576-2988
  • Fax: 480-391-9258
Mailing address:
  • Phone: 602-576-2988
  • Fax: 480-391-9258

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number1331
License Number StateAZ

VIII. Authorized Official

Name: MRS. BARBARA L FRIEDMAN
Title or Position: OWNER/HEARING INSTRUMENT SPECIALIST
Credential: MS BC HIS
Phone: 602-576-2988