Quezada, Augusto Rene

Quezada, Augusto Rene is an individual health care provider with primary practice located at 1100 Alabama Ave Se , Washington DC 20032-4542. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Quezada, Augusto Rene can be contacted via phone (202) 299-5100.

Contact Information

Primary practice address
1100 Alabama Ave Se Washington DC 20032-4542
Phone: (202) 299-5100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics 2251G0304X PT2608 District of Columbia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT2608 District of Columbia

Profile Details

NPI number 1770216590
LBN Legal business name Quezada, Augusto Rene
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2022
Last updated Jul 8th, 2022 - about 2 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 1770216590 NPPES
District of Columbia MEDICAID 1538254016
District of Columbia MEDICAID 1871634170

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