Fajardo, Raul
Fajardo, Raul is an individual health care provider with primary practice located at 31895 Sun Kettle Loop , Wesley Chapel FL 33545-2252. He recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as his primary health care specialty. Fajardo, Raul can be contacted via phone (561) 389-0672.Contact Information
Primary practice address
31895 Sun Kettle Loop
Wesley Chapel FL 33545-2252
Phone: (561) 389-0672
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Home Health Aide | 374U00000X |
Profile Details
| NPI number | 1831869858 |
|---|---|
| LBN Legal business name | Fajardo, Raul |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2021 |
| Last updated | Sep 20th, 2021 - about 4 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 | 1831869858 | NPPES |
| Florida | MEDICAID | 013682800 |
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