Formilleza, Modesto King Andrew Esguerra

Formilleza, Modesto King Andrew Esguerra is an individual health care provider with primary practice located at 735 S 2Nd St , Creswell OR 97426-7507. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation, which is considered as his primary health care specialty. Formilleza, Modesto King Andrew Esguerra can be contacted via phone (541) 895-3333.

Contact Information

Primary practice address
735 S 2Nd St Creswell OR 97426-7507
Phone: (541) 895-3333
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation 225XP0019X 260743 Oregon

Profile Details

NPI number 1285944561
LBN Legal business name Formilleza, Modesto King Andrew Esguerra
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2010
Last updated Oct 20th, 2010 - about 15 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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