Tabanda-Lichauco, Rosa Trinidad C
Tabanda-Lichauco, Rosa Trinidad C is an individual health care provider with primary practice located at 300 El Camino Real , Sierra Vista AZ 85635-2812. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Tabanda-Lichauco, Rosa Trinidad C can be contacted via phone (520) 335-1800.Contact Information
Primary practice address
300 El Camino Real
Sierra Vista AZ 85635-2812
Phone: (520) 335-1800
Fax: (520) 335-2743
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 36678 | Arizona |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 36678 | Arizona |
Profile Details
| NPI number | 1922216233 |
|---|---|
| LBN Legal business name | Tabanda-Lichauco, Rosa Trinidad C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2007 |
| Last updated | Aug 27th, 2014 - about 12 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 | 1922216233 | NPPES |
| Arizona | MEDICAID | 824163 |
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