Avila, Juan Antonio

Avila, Juan Antonio is an individual health care provider with primary practice located at 10200 Ne 132Nd St , Kirkland WA 98034-2831. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Avila, Juan Antonio can be contacted via phone (504) 236-8154.

Contact Information

Primary practice address
10200 Ne 132Nd St Kirkland WA 98034-2831
Phone: (504) 236-8154
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X FA2156621 Washington

Profile Details

NPI number 1205023959
LBN Legal business name Avila, Juan Antonio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2007
Last updated Aug 8th, 2014 - about 12 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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