Giles, Sergio O
Giles, Sergio O is an sole proprietor health care provider with primary practice located at 8428 Whippoorwill Dr , Fort Worth TX 76123. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, which is considered as his primary health care specialty. Giles, Sergio O can be contacted via phone (817) 713-8905.Contact Information
Primary practice address
8428 Whippoorwill Dr
Fort Worth TX 76123
Phone: (817) 713-8905
Fax: (817) 394-1427
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant | 246ZC0007X | SA00564 | Texas |
Profile Details
NPI number | 1629351150 |
---|---|
LBN Legal business name | Giles, Sergio O |
Credentials | LSA, CSA, CSFA |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 21st, 2011 |
Last updated | Apr 30th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1629351150 | NPPES |
Other | 3143 | CERTIFIED SURGICAL ASSISTANT | |
Other | 183346 | CERTIFIED SURGICAL ASSISTANT | |
Other | SA00564 | CERTIFIED SURGICAL ASSISTANT |
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