Gervacio, Neilrose Laciste
Gervacio, Neilrose Laciste is an individual health care provider with primary practice located at Camp Schwab Bmc 3D Med Bn, 3D Mlg, C Co, Fpo AP 96604. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Gervacio, Neilrose Laciste can be contacted via phone 011816117252272.Contact Information
Primary practice address
Camp Schwab Bmc 3D Med Bn, 3D Mlg, C Co
Fpo AP 96604
Phone: 011816117252272
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Independent Duty Corpsman | 1710I1002X |
Profile Details
| NPI number | 1063460210 |
|---|---|
| LBN Legal business name | Gervacio, Neilrose Laciste |
| Credentials | IDC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Apr 20th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063460210 | NPPES |
| Other | 1710I1002X | INDEPENDENT DUTY CORPSMAN |
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