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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164771895 | NPPES |
| Other | 12299964 | CAQH |
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