Eusebio, Christian Ada

Eusebio, Christian Ada is an individual health care provider with primary practice located at 171 Farenholt Ave , Tamuning GU 96913-8739. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Eusebio, Christian Ada can be contacted via phone (671) 646-0441.

Contact Information

Primary practice address
171 Farenholt Ave Tamuning GU 96913-8739
Phone: (671) 646-0441
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X M2057 Guam

Profile Details

NPI number 1457643025
LBN Legal business name Eusebio, Christian Ada
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2011
Last updated May 27th, 2019 - about 5 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 1457643025 NPPES
Guam MEDICAID H110364

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