Fuentes, Erica
Fuentes, Erica is an individual health care provider with primary practice located at 2301 Research Blvd Suite 110, Rockville MD 20850-3204. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Fuentes, Erica can be contacted via phone (301) 424-5200.Contact Information
Primary practice address
2301 Research Blvd Suite 110
Rockville MD 20850-3204
Phone: (301) 424-5200
Fax: (301) 424-8063
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 06183 | Maryland |
Profile Details
| NPI number | 1912997966 |
|---|---|
| LBN Legal business name | Fuentes, Erica |
| Credentials | MOT, OTR/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 21st, 2005 |
| Last updated | Sep 9th, 2009 - about 17 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 | 1912997966 | NPPES |
| Florida | MEDICAID | 890423500 |
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