Alcantara, Rodil Deang
Alcantara, Rodil Deang is an sole proprietor health care provider with primary practice located at 239 Ne 178Th St , Shoreline WA 98155-3538. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Alcantara, Rodil Deang can be contacted via phone (206) 361-2645.Contact Information
Primary practice address
239 Ne 178Th St
Shoreline WA 98155-3538
Phone: (206) 361-2645
Fax: (206) 361-2645
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X |
Profile Details
| NPI number | 1245459114 |
|---|---|
| LBN Legal business name | Alcantara, Rodil Deang |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 25th, 2007 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1245459114 | NPPES |
| Washington | MEDICAID | 9057795 |
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