Kintanar, Agnes B

Kintanar, Agnes B is an individual health care provider with primary practice located at 1292 W Mill St Suite 105, San Bernardino CA 92410-2500. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Kintanar, Agnes B can be contacted via phone (909) 383-9440.

Contact Information

Primary practice address
1292 W Mill St Suite 105 San Bernardino CA 92410-2500
Phone: (909) 383-9440
Fax: (909) 383-9443
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X A38376 California

Profile Details

NPI number 1073713962
LBN Legal business name Kintanar, Agnes B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2007
Last updated Nov 17th, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1073713962 NPPES
California MEDICAID 00A383761
California MEDICAID 00A383760

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