Melgoza, Juan Fernando

Melgoza, Juan Fernando is an sole proprietor health care provider with primary practice located at 13172 Tx-64 , Tyler TX 75707. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Melgoza, Juan Fernando can be contacted via phone (903) 566-2311.

Contact Information

Primary practice address
13172 Tx-64 Tyler TX 75707
Phone: (903) 566-2311
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1023548187
LBN Legal business name Melgoza, Juan Fernando
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2017
Last updated Jun 12th, 2017 - about 7 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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