Mercado Guzman, Juan Fulgencio
Mercado Guzman, Juan Fulgencio is an individual health care provider with primary practice located at 18Th Medical Group Unit 5142, Apo AP 96368. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Mercado Guzman, Juan Fulgencio can be contacted via phone (315) 630-4780.Contact Information
Primary practice address
18Th Medical Group Unit 5142
Apo AP 96368
Phone: (315) 630-4780
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X |
Profile Details
| NPI number | 1407204829 |
|---|---|
| LBN Legal business name | Mercado Guzman, Juan Fulgencio |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 26th, 2016 |
| Last updated | Aug 7th, 2020 - about 4 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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