Echaure, Samuel Ballesteros
Echaure, Samuel Ballesteros is an sole proprietor health care provider with primary practice located at 9040 Jackson Ave Joint Base Lewis Mcchord , Tacoma WA 98431-8273. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Echaure, Samuel Ballesteros can be contacted via phone (253) 968-5480.Contact Information
Primary practice address
9040 Jackson Ave Joint Base Lewis Mcchord
Tacoma WA 98431-8273
Phone: (253) 968-5480
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | A44205 | California |
Profile Details
| NPI number | 1164520920 |
|---|---|
| LBN Legal business name | Echaure, Samuel Ballesteros |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Feb 20th, 2019 - about 6 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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