Alcalde, Luis Carlos

Alcalde, Luis Carlos is an individual health care provider with primary practice located at 1515 E Columbia St , Othello WA 99344-1846. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Alcalde, Luis Carlos can be contacted via phone (509) 488-5256.

Contact Information

Primary practice address
1515 E Columbia St Othello WA 99344-1846
Phone: (509) 488-5256
Fax: (509) 488-5256
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA10001584 Washington

Profile Details

NPI number 1376521229
LBN Legal business name Alcalde, Luis Carlos
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 1st, 2006
Last updated Mar 12th, 2021 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1376521229 NPPES
Washington MEDICAID 1037922

Popular Providers