Ibay, Edgar N

Ibay, Edgar N is an sole proprietor health care provider with primary practice located at 1992 Caminito De La Cruz , Chula Vista CA 91913. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Ibay, Edgar N can be contacted via phone (760) 828-3833.

Contact Information

Primary practice address
1992 Caminito De La Cruz Chula Vista CA 91913
Fax:
Website:

Health care specialties

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

Profile Details

NPI number 1801232236
LBN Legal business name Ibay, Edgar N
Credentials IDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 13th, 2013
Last updated May 13th, 2013 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1801232236 NPPES
Other 1710-1002X IDC

Popular Providers