Eustaquio, Jon Anthony I

Eustaquio, Jon Anthony I is an sole proprietor health care provider with primary practice located at 1905 W Intendencia St , Pensacola FL 32502-5155. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Eustaquio, Jon Anthony I can be contacted via phone (850) 529-5583.

Contact Information

Primary practice address
1905 W Intendencia St Pensacola FL 32502-5155
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1669753620
LBN Legal business name Eustaquio, Jon Anthony I
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 6th, 2011
Last updated Sep 6th, 2011 - about 13 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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