Carrillo, Ezequiel

Carrillo, Ezequiel is an individual health care provider with primary practice located at Buidling 301 Andrews Avenue Lyster Army Health Clinic, Fort Rucker AL 36362-5333. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as his primary health care specialty. Carrillo, Ezequiel can be contacted via phone (334) 255-7028.

Contact Information

Primary practice address
Buidling 301 Andrews Avenue Lyster Army Health Clinic Fort Rucker AL 36362-5333
Phone: (334) 255-7028
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1609267137
LBN Legal business name Carrillo, Ezequiel
Credentials BEHAVIORAL HLTH TECH
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2015
Last updated Feb 5th, 2015 - about 10 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.

Request for update

Popular Providers

  • Harrison, Jamal
    Bldg 301 Andrews Ave Lyster Army Health Clinic, Fort Rucker AL 36362-5333
  • Hawkins, Crystal
    Bldg 301 Andrews Ave. Lyster Army Health Clinic, Fort Rucker AL 36362-5333
  • Capehart, Shannon H
    Building 301 Andrews Avenue Lyster Army Health Clinic, Fort Rucker AL 36362-5333
  • Nelson, Camilla
    Building 301 Andrews Ave Lyster Army Health Clinic, Fort Rucker AL 36362-5333
  • Loiseau, Shanae
    Building 301 Andrews Ave Lyster Army Health Clinic, Fort Rucker AL 36362-5333
  • Sauerwein, Mason Webb
    301 Andrews Ave , Fort Rucker AL 36362
  • Virgil, David
    2218 6Th Avenue Building 4102 , Fort Rucker AL 36362
  • Valadez, Patrice
    Bldg 301 Andrews Ave Lyster Army Health Clinic, Fort Rucker AL 36362-5333