Chujutalli, Ricardo

Chujutalli, Ricardo is an sole proprietor health care provider with primary practice located at 4924 Marsh Harrier Ave , Grand Prairie TX 75052-3057. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Chujutalli, Ricardo can be contacted via phone (972) 652-0705.

Contact Information

Primary practice address
4924 Marsh Harrier Ave Grand Prairie TX 75052-3057
Phone: (972) 652-0705
Fax: (972) 752-7889
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X

Profile Details

NPI number 1215178769
LBN Legal business name Chujutalli, Ricardo
Credentials CSA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 12th, 2009
Last updated Mar 26th, 2015 - about 9 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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