Antioquia, Roman
Antioquia, Roman is an sole proprietor health care provider with primary practice located at 6808 220Th St Sw Suite 203, Mountlake Terrace WA 98043-2187. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Antioquia, Roman can be contacted via phone (425) 776-1056.Contact Information
Primary practice address
6808 220Th St Sw Suite 203
Mountlake Terrace WA 98043-2187
Phone: (425) 776-1056
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MA60384227 | Washington |
Profile Details
| NPI number | 1790186633 |
|---|---|
| LBN Legal business name | Antioquia, Roman |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 10th, 2014 |
| Last updated | Sep 10th, 2014 - about 10 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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