Tague, Curtis
Tague, Curtis is an sole proprietor health care provider with primary practice located at 118 E Airport Dr Ste 201, San Bernardino CA 92408-3472. He recently has 3 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Pathology, Technologists, Technicians & Other Technical Service Providers / Medical Technologist, Technologists, Technicians & Other Technical Service Providers / Technician, Pathology. Technologists, Technicians & Other Technical Service Providers / Medical Technologist is his primary health care specialty. Tague, Curtis can be contacted via phone (909) 890-2532.Contact Information
Primary practice address
118 E Airport Dr Ste 201
San Bernardino CA 92408-3472
Phone: (909) 890-2532
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Pathology | 246Q00000X | California | |
| Technologists, Technicians & Other Technical Service Providers / Medical Technologist | 246QM0706X | California | |
| Technologists, Technicians & Other Technical Service Providers / Technician, Pathology | 246R00000X | California |
Profile Details
| NPI number | 1376640482 |
|---|---|
| LBN Legal business name | Tague, Curtis |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Mar 31st, 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 | 1376640482 | NPPES |
| California | Other | ZZZ67434Z | BLUE CROSS/BLUE SHIELD |
| California | MEDICAID | ZZZ24690Z | BLUE CROSS/BLUE SHIELD |
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