Acosta, Rafael Anthony
Acosta, Rafael Anthony is an individual health care provider with primary practice located at 3 Hillcrest Dr Ste A100 , Frederick MD 21703-6271. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Acosta, Rafael Anthony can be contacted via phone (301) 898-2606.Contact Information
Primary practice address
3 Hillcrest Dr Ste A100
Frederick MD 21703-6271
Phone: (301) 898-2606
Fax: (301) 898-2755
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 12408 | Maryland |
Profile Details
| NPI number | 1538453279 |
|---|---|
| LBN Legal business name | Acosta, Rafael Anthony |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 29th, 2011 |
| Last updated | Dec 30th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538453279 | NPPES |
| Maryland | Other | 12408 | MARYLAND LICENSE |
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