Despradel Quintana, Walter Javier

Despradel Quintana, Walter Javier is an sole proprietor health care provider with primary practice located at 840 17Th St Apt 117 , San Diego CA 92101-6655. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Despradel Quintana, Walter Javier can be contacted via phone (619) 642-7162.

Contact Information

Primary practice address
840 17Th St Apt 117 San Diego CA 92101-6655
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1659159978
LBN Legal business name Despradel Quintana, Walter Javier
Credentials MILITARY PROVIDER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 18th, 2023
Last updated Sep 18th, 2023 - about last year

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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