Alphonse, Oswald Junior

Alphonse, Oswald Junior is an individual health care provider with primary practice located at 3801 S Kanner Hwy Ste 200 , Stuart FL 34994-4801. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Alphonse, Oswald Junior can be contacted via phone (772) 223-4978.

Contact Information

Primary practice address
3801 S Kanner Hwy Ste 200 Stuart FL 34994-4801
Phone: (772) 223-4978
Fax: (772) 223-2847
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9104344 Florida

Profile Details

NPI number 1750576617
LBN Legal business name Alphonse, Oswald Junior
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2007
Last updated Oct 9th, 2020 - about 6 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 1750576617 NPPES
Florida Other Y02YX FL BLUE
Florida MEDICAID 293039100 FL BLUE

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