Tud, Juan Carlos

Tud, Juan Carlos is an sole proprietor health care provider with primary practice located at 250 Fernando Ave , Palo Alto CA 94306-2814. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Perfusionist, which is considered as his primary health care specialty. Tud, Juan Carlos can be contacted via phone (515) 865-5471.

Contact Information

Primary practice address
250 Fernando Ave Palo Alto CA 94306-2814
Phone: (515) 865-5471
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Perfusionist 242T00000X 999074 California

Profile Details

NPI number 1265900609
LBN Legal business name Tud, Juan Carlos
Credentials CLS, CCP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 4th, 2018
Last updated Nov 4th, 2018 - about 8 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 1265900609 NPPES
Other 999074 AMERICAN BOARD OF CARDIOVASCULAR PERFUSION

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