Alcantara, Gerald L

Alcantara, Gerald L is an individual health care provider with primary practice located at 44045 Riverside Pkwy , Leesburg VA 20176-5101. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Alcantara, Gerald L can be contacted via phone (703) 858-6000.

Contact Information

Primary practice address
44045 Riverside Pkwy Leesburg VA 20176-5101
Phone: (703) 858-6000
Fax: (571) 209-6465
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 0001156458 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 0024156458 Virginia

Profile Details

NPI number 1912983214
LBN Legal business name Alcantara, Gerald L
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
Last updated Sep 30th, 2013 - about 11 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 1912983214 NPPES
Virginia MEDICAID 1912983214
Virginia Other 990014002

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