Deguzman, Reynalda M

Deguzman, Reynalda M is an individual health care provider with primary practice located at 4361 Boniface Pkwy , Anchorage AK 99504-4316. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Deguzman, Reynalda M can be contacted via phone (907) 333-1211.

Contact Information

Primary practice address
4361 Boniface Pkwy Anchorage AK 99504-4316
Fax: (907) 333-8660
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X AA1732 Alaska

Profile Details

NPI number 1922218064
LBN Legal business name Deguzman, Reynalda M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2007
Last updated Feb 7th, 2017 - about 7 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 1922218064 NPPES
Alaska MEDICAID MD1732

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