Beltejar-Difuntorum, Evangeline
Beltejar-Difuntorum, Evangeline is an sole proprietor health care provider with primary practice located at 4900 Koenig Rd , Reno NV 89506-7811. She recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as her primary health care specialty. Beltejar-Difuntorum, Evangeline can be contacted via phone (775) 324-0691.Contact Information
Primary practice address
4900 Koenig Rd
Reno NV 89506-7811
Phone: (775) 324-0691
Fax: (775) 324-1220
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X |
Profile Details
| NPI number | 1053771907 |
|---|---|
| LBN Legal business name | Beltejar-Difuntorum, Evangeline |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 3rd, 2016 |
| Last updated | Mar 30th, 2023 - about last year |
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 | 1053771907 | NPPES |
| Nevada | MEDICAID | 057 |
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