Fajardo, Edward

Fajardo, Edward is an individual health care provider with primary practice located at 1648 Thompson Ave , Chula Vista CA 91913-4340. He recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as his primary health care specialty. Fajardo, Edward can be contacted via phone (619) 414-0069.

Contact Information

Primary practice address
1648 Thompson Ave Chula Vista CA 91913-4340
Phone: (619) 414-0069
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 709679 California

Profile Details

NPI number 1033381926
LBN Legal business name Fajardo, Edward
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2008
Last updated Mar 10th, 2014 - 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 1033381926 NPPES
California Other 709679 RN

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