Acosta, Daniel T.

Acosta, Daniel T. is an sole proprietor health care provider with primary practice located at 635 C St Apt. 502, San Diego CA 92101-5381. He recently has only one registered license in Eye and Vision Services Providers / Ocularist, which is considered as his primary health care specialty. Acosta, Daniel T. can be contacted via phone (619) 235-8950.

Contact Information

Primary practice address
635 C St Apt. 502 San Diego CA 92101-5381
Phone: (619) 235-8950
Fax: (619) 235-8959
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Ocularist 156FX1700X

Profile Details

NPI number 1144304544
LBN Legal business name Acosta, Daniel T.
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 24th, 2006
Last updated Dec 6th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144304544 NPPES
California Other ZZZ02268Z BLUE SHIELD
California MEDICAID DXX00002F BLUE SHIELD

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