Formoso, Mc Rey Padua

Formoso, Mc Rey Padua is an individual health care provider with primary practice located at 1061 Harmon Ave , Fort Stewart GA 31314-5641. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, which is considered as his primary health care specialty. Formoso, Mc Rey Padua can be contacted via phone (912) 435-6050.

Contact Information

Primary practice address
1061 Harmon Ave Fort Stewart GA 31314-5641
Phone: (912) 435-6050
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Technologist 246ZS0410X

Profile Details

NPI number 1831591163
LBN Legal business name Formoso, Mc Rey Padua
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2014
Last updated Sep 18th, 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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