Realica, Ross Maglaque

Realica, Ross Maglaque is an individual health care provider with primary practice located at 9040 Jackson Ave Madigan Army Medical Center , Tacoma WA 98431. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Realica, Ross Maglaque can be contacted via phone (253) 441-0598.

Contact Information

Primary practice address
9040 Jackson Ave Madigan Army Medical Center Tacoma WA 98431
Phone: (253) 441-0598
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 37332 Washington

Profile Details

NPI number 1538192976
LBN Legal business name Realica, Ross Maglaque
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2006
Last updated Sep 20th, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1538192976 NPPES
Washington MEDICAID 1107846
Washington Other 240006923

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