Rivera, Luis Fernando

Rivera, Luis Fernando is an sole proprietor health care provider with primary practice located at 21415 43Rd Avenue Ct E , Spanaway WA 98387-6841. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Rivera, Luis Fernando can be contacted via phone (253) 359-4195.

Contact Information

Primary practice address
21415 43Rd Avenue Ct E Spanaway WA 98387-6841
Phone: (253) 359-4195
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X P160103900 Washington

Profile Details

NPI number 1740557313
LBN Legal business name Rivera, Luis Fernando
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 25th, 2011
Last updated Nov 25th, 2011 - about 13 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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