Asuncion, Dexter James De Guzman

Asuncion, Dexter James De Guzman is an individual health care provider with primary practice located at 1615 Delaware St , Longview WA 98632-2367. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Asuncion, Dexter James De Guzman can be contacted via phone (360) 501-3601.

Contact Information

Primary practice address
1615 Delaware St Longview WA 98632-2367
Phone: (360) 501-3601
Fax: (360) 501-3648
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD60070549 Washington
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X MD60070549 Washington

Profile Details

NPI number 1326256975
LBN Legal business name Asuncion, Dexter James De Guzman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2007
Last updated Jan 10th, 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 1326256975 NPPES
Oregon MEDICAID 500617678
Oregon Other P00811312
Oregon Other 0257369
Oregon MEDICAID 8559270

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