Tesoro, Olmedo Alexander Roldan
Tesoro, Olmedo Alexander Roldan is an individual health care provider with primary practice located at 1717 S J St , Tacoma WA 98405-4933. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Tesoro, Olmedo Alexander Roldan can be contacted via phone (844) 364-2778.Contact Information
Primary practice address
1717 S J St
Tacoma WA 98405-4933
Phone: (844) 364-2778
Fax: (253) 274-7991
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD00043243 | Washington |
Profile Details
| NPI number | 1699766485 |
|---|---|
| LBN Legal business name | Tesoro, Olmedo Alexander Roldan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Jan 18th, 2021 - about 5 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 | 1699766485 | NPPES |
| Washington | MEDICAID | 1016611 | |
| Washington | Other | 0236637 |
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