Trevino, Rodolfo Nieto

Trevino, Rodolfo Nieto is an individual health care provider with primary practice located at 39 Shortcut Road , Inchelium WA 99138-0290. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Trevino, Rodolfo Nieto can be contacted via phone (509) 722-7006.

Contact Information

Primary practice address
39 Shortcut Road Inchelium WA 99138-0290
Fax: (509) 722-7635
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00048467 Washington

Profile Details

NPI number 1922114537
LBN Legal business name Trevino, Rodolfo Nieto
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Mar 27th, 2013 - about 12 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 1922114537 NPPES
Washington MEDICAID 2014383

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