Madiata, Siraelle
Madiata, Siraelle is an sole proprietor health care provider with primary practice located at 4884 W Calle Don Alberto , Tucson AZ 85757-1427. She recently has only one registered license in Respite Care Facility / Respite Care, which is considered as her primary health care specialty. Madiata, Siraelle can be contacted via phone (310) 651-0013.Contact Information
Primary practice address
4884 W Calle Don Alberto
Tucson AZ 85757-1427
Phone: (310) 651-0013
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respite Care Facility / Respite Care | 385H00000X |
Profile Details
| NPI number | 1285120121 |
|---|---|
| LBN Legal business name | Madiata, Siraelle |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 3rd, 2018 |
| Last updated | Jul 3rd, 2018 - about 8 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 | 1285120121 | NPPES |
| Arizona | Other | BH5450 | AZ DEPT OF HEALTH SERVICES |
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