Chamorro, Richard
Chamorro, Richard is an sole proprietor health care provider with primary practice located at 33-06 Rosalie St , Fair Lawn NJ 07410-4736. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Chamorro, Richard can be contacted via phone (201) 232-8257.Contact Information
Primary practice address
33-06 Rosalie St
Fair Lawn NJ 07410-4736
Phone: (201) 232-8257
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 48078 | California |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 40QB00189100 | New Jersey |
Profile Details
NPI number | 1265146153 |
---|---|
LBN Legal business name | Chamorro, Richard |
Credentials | Physical Therapist Assistant (PTA) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 6th, 2023 |
Last updated | Jan 6th, 2023 - about 2 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 | 1265146153 | NPPES |
California | Other | 48078 | PTA LICENSE |
California | Other | 40QB00189100 | PTA LICENSE |
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