Arevalo, Jose Enrique
Arevalo, Jose Enrique is an sole proprietor health care provider with primary practice located at 1730 Sw Military Dr Ste 102 , San Antonio TX 78221-1400. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Arevalo, Jose Enrique can be contacted via phone (210) 610-0807.Contact Information
Primary practice address
1730 Sw Military Dr Ste 102
San Antonio TX 78221-1400
Phone: (210) 610-0807
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | 32821 | Texas |
Profile Details
| NPI number | 1689872251 |
|---|---|
| LBN Legal business name | Arevalo, Jose Enrique |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 5th, 2007 |
| Last updated | Oct 28th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689872251 | NPPES |
| California | Other | 270018516 | TAX IDENTIFICATION |
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