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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770216590 | NPPES |
| District of Columbia | MEDICAID | 1538254016 | |
| District of Columbia | MEDICAID | 1871634170 |
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