Saculo, Isagani L.

Saculo, Isagani L. is an sole proprietor health care provider with primary practice located at 4315 28Th St Suite 2 Suite 1C282, Lubbock TX 79410-2507. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Saculo, Isagani L. can be contacted via phone (806) 792-2104.

Contact Information

Primary practice address
4315 28Th St Suite 2 Suite 1C282 Lubbock TX 79410-2507
Phone: (806) 792-2104
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP114739 Texas

Profile Details

NPI number 1972548428
LBN Legal business name Saculo, Isagani L.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 18th, 2006
Last updated Jan 11th, 2023 - about last year

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 1972548428 NPPES
New Mexico Other 70408009 CONSULTEC
New Mexico MEDICAID 202005978 CONSULTEC
New Mexico MEDICAID 149984101 CONSULTEC
New Mexico MEDICAID 200082440A CONSULTEC
New Mexico MEDICAID 182510101 CONSULTEC
New Mexico Other 149984100 CONSULTEC
New Mexico Other 202005978 CONSULTEC
New Mexico Other 86408U CONSULTEC
New Mexico Other 86409U CONSULTEC

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