Escalante, Agaton Holazo
Escalante, Agaton Holazo is an sole proprietor health care provider with primary practice located at 3805 Norrisville Box 216, Jarrettsville MD 21084-1421. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Escalante, Agaton Holazo can be contacted via phone (410) 557-9322.Contact Information
Primary practice address
3805 Norrisville Box 216
Jarrettsville MD 21084-1421
Phone: (410) 557-9322
Fax: (410) 557-4451
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | D0017679 | Maryland |
Profile Details
| NPI number | 1689748816 |
|---|---|
| LBN Legal business name | Escalante, Agaton Holazo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 20th, 2006 |
| Last updated | Jan 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689748816 | NPPES |
| Maryland | MEDICAID | 398861901 | |
| Maryland | Other | 31060005 | |
| Maryland | Other | 0163901 | |
| Maryland | Other | 041673 | |
| Maryland | Other | 110011897 | |
| Maryland | Other | 660461156 |
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