Escobar, Guillermo Steven
Escobar, Guillermo Steven is an individual health care provider with primary practice located at 100 Nicolls Rd , Stony Brook NY 11794-0001. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is his primary health care specialty. Escobar, Guillermo Steven can be contacted via phone (631) 632-6000.Contact Information
Primary practice address
100 Nicolls Rd
Stony Brook NY 11794-0001
Phone: (631) 632-6000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X |
Profile Details
| NPI number | 1528526027 |
|---|---|
| LBN Legal business name | Escobar, Guillermo Steven |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 4th, 2019 |
| Last updated | Mar 4th, 2019 - about 7 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 | 1528526027 | NPPES |
| New York | Other | CDKSC7325736 | BLUE CROSS BLUE SHIELD |
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