Escalante, Rudolph Vincent

Escalante, Rudolph Vincent is an individual health care provider with primary practice located at 200 7Th Avenue Suite 150, Santa Cruz CA 95062. He recently has only one registered license in Nursing Service Related Providers / Nursing Home Administrator, which is considered as his primary health care specialty. Escalante, Rudolph Vincent can be contacted via phone (831) 462-1060.

Contact Information

Primary practice address
200 7Th Avenue Suite 150 Santa Cruz CA 95062
Phone: (831) 462-1060
Fax: (831) 462-4970
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nursing Home Administrator 376G00000X

Profile Details

NPI number 1861901282
LBN Legal business name Escalante, Rudolph Vincent
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2017
Last updated Sep 28th, 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 1861901282 NPPES
California MEDICAID 4410
California MEDICAID 4496

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