Restivo, Edmond J
Restivo, Edmond J is an sole proprietor health care provider with primary practice located at 3456 Spring Hill Ave Ste 19 , Mobile AL 36608-1523. He recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as his primary health care specialty. Restivo, Edmond J can be contacted via phone (251) 605-2529.Contact Information
Primary practice address
3456 Spring Hill Ave Ste 19
Mobile AL 36608-1523
Phone: (251) 605-2529
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Prosthetic/Orthotic Supplier | 335E00000X | 331216298 | Louisiana |
Profile Details
| NPI number | 1043558976 |
|---|---|
| LBN Legal business name | Restivo, Edmond J |
| Credentials | C.P.O. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 28th, 2013 |
| Last updated | Jan 28th, 2013 - about 11 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 | 1043558976 | NPPES |
| Louisiana | Other | 331216298 | TAX |
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