Diaz, Hector
Diaz, Hector is an individual health care provider with primary practice located at 4577 Acacia Ave Apt 7 , La Mesa CA 91941-6478. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Diaz, Hector can be contacted via phone (619) 709-4961.Contact Information
Primary practice address
4577 Acacia Ave Apt 7
La Mesa CA 91941-6478
Phone: (619) 709-4961
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Independent Duty Corpsman | 1710I1002X |
Profile Details
| NPI number | 1063882421 |
|---|---|
| LBN Legal business name | Diaz, Hector |
| Credentials | IDC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2015 |
| Last updated | Sep 29th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063882421 | NPPES |
| Other | 1291997941 | DOD ID |
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