Fuentes, Antonio
Fuentes, Antonio is an sole proprietor health care provider with primary practice located at 3310 Main Ave Apt 205 , Durango CO 81301-4067. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Lodging, Behavioral Health & Social Service Providers / Pastoral. Behavioral Health & Social Service Providers / Pastoral is his primary health care specialty. Fuentes, Antonio can be contacted via phone (210) 392-6677.Contact Information
Primary practice address
3310 Main Ave Apt 205
Durango CO 81301-4067
Phone: (210) 392-6677
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Lodging | 177F00000X | ||
| Behavioral Health & Social Service Providers / Pastoral | 101YP1600X |
Profile Details
| NPI number | 1912617432 |
|---|---|
| LBN Legal business name | Fuentes, Antonio |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 28th, 2022 |
| Last updated | Nov 28th, 2022 - 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.
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