De La Pena, Robert

De La Pena, Robert is an individual health care provider with primary practice located at 9040 Jackson Ave , Tacoma WA 98431-0001. He recently has only one registered license in Emergency Medical Service Providers / Emergency Medical Technician, Basic, which is considered as his primary health care specialty. De La Pena, Robert can be contacted via phone (253) 968-0982.

Contact Information

Primary practice address
9040 Jackson Ave Tacoma WA 98431-0001
Fax:
Website:

Health care specialties

Profile Details

NPI number 1386107456
LBN Legal business name De La Pena, Robert
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2019
Last updated Apr 7th, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1386107456 NPPES
Texas Other 146L00000X NPI

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