Azcarate, Eduardo M

Azcarate, Eduardo M is an sole proprietor health care provider with primary practice located at 6201 Leesburg Pike , Falls Church VA 22044-2201. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as his primary health care specialty. Azcarate, Eduardo M can be contacted via phone (703) 237-0725.

Contact Information

Primary practice address
6201 Leesburg Pike Falls Church VA 22044-2201
Phone: (703) 237-0725
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 0810000952 Virginia

Profile Details

NPI number 1164771895
LBN Legal business name Azcarate, Eduardo M
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 10th, 2012
Last updated Sep 10th, 2012 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1164771895 NPPES
Other 12299964 CAQH

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