Intal, Thea De Guzman
Intal, Thea De Guzman is an sole proprietor health care provider with primary practice located at 36 Newark Ave Ste 300 , Belleville NJ 07109-4122. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Intal, Thea De Guzman can be contacted via phone (973) 873-0195.Contact Information
Primary practice address
36 Newark Ave Ste 300
Belleville NJ 07109-4122
Phone: (973) 873-0195
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 26NJ14933100 | New Jersey |
Profile Details
NPI number | 1093596744 |
---|---|
LBN Legal business name | Intal, Thea De Guzman |
Credentials | FNP-C |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 9th, 2023 |
Last updated | Dec 26th, 2023 - about last year |
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 | 1093596744 | NPPES |
New Jersey | MEDICAID | 0960691 |
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