Hutauruk, Johannes Marulitua

Hutauruk, Johannes Marulitua is an individual health care provider with primary practice located at 4212 N 16Th St , Phoenix AZ 85016-5319. He recently has only one registered license in Nursing Service Providers / Critical Care Medicine, which is considered as his primary health care specialty. Hutauruk, Johannes Marulitua can be contacted via phone (602) 263-1200.

Contact Information

Primary practice address
4212 N 16Th St Phoenix AZ 85016-5319
Fax: (602) 263-1631
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 544346 California

Profile Details

NPI number 1861712747
LBN Legal business name Hutauruk, Johannes Marulitua
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2010
Last updated Jun 2nd, 2010 - about 14 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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