Alcantar, Ezequiel

Alcantar, Ezequiel is an sole proprietor health care provider with primary practice located at 1414 N California St , Stockton CA 95202-1515. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Counselor. Other Service Providers / Community Health Worker is his primary health care specialty. Alcantar, Ezequiel can be contacted via phone (209) 468-2385.

Contact Information

Primary practice address
1414 N California St Stockton CA 95202-1515
Phone: (209) 468-2385
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X
Other Service Providers / Peer Specialist 175T00000X
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1578097424
LBN Legal business name Alcantar, Ezequiel
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2017
Last updated Oct 11th, 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.

Request for update

Popular Providers