Rengifo-Caicedo, Fernando
Rengifo-Caicedo, Fernando is an sole proprietor health care provider with primary practice located at 856 Red Hart Ln , Alpharetta GA 30004-4142. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Rengifo-Caicedo, Fernando can be contacted via phone (202) 297-5314.Contact Information
Primary practice address
856 Red Hart Ln
Alpharetta GA 30004-4142
Phone: (202) 297-5314
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP007041 | Georgia |
Profile Details
| NPI number | 1093956237 |
|---|---|
| LBN Legal business name | Rengifo-Caicedo, Fernando |
| Credentials | SLP007041 |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 18th, 2009 |
| Last updated | Jan 29th, 2010 - about 15 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 | 1093956237 | NPPES |
| Washington | Other | 1331465 | DRIVER'S LICENSE |
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