Ascalon, Michelangelo Villanueva
Ascalon, Michelangelo Villanueva is an sole proprietor health care provider with primary practice located at 9124 Mill Park Ave , Tacoma WA 98433-2301. He recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as his primary health care specialty. Ascalon, Michelangelo Villanueva can be contacted via phone (714) 267-9494.Contact Information
Primary practice address
9124 Mill Park Ave
Tacoma WA 98433-2301
Phone: (714) 267-9494
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X |
Profile Details
| NPI number | 1528649548 |
|---|---|
| LBN Legal business name | Ascalon, Michelangelo Villanueva |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 20th, 2021 |
| Last updated | Apr 20th, 2021 - about 4 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 | 1528649548 | NPPES |
| Other | 1504424991 | UNITED STATES ARMY |
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