Azcarate, Javier Eduardo
Azcarate, Javier Eduardo is an individual health care provider with primary practice located at 172 Three Rivers Dr Ne , Rome GA 30161-4999. He recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as his primary health care specialty. Azcarate, Javier Eduardo can be contacted via phone (706) 234-6905.Contact Information
Primary practice address
172 Three Rivers Dr Ne
Rome GA 30161-4999
Phone: (706) 234-6905
Fax: (706) 291-7792
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | LD003853 | Georgia |
Profile Details
| NPI number | 1336412402 |
|---|---|
| LBN Legal business name | Azcarate, Javier Eduardo |
| Credentials | Registered Dietitian (RD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 20th, 2012 |
| Last updated | May 7th, 2013 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336412402 | NPPES |
| Georgia | MEDICAID | 003129910A |
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