National Provider Identifier Database

ADVANCE NURSING PRACTICE MEDICAL GROUP INC
Family


Contact Information

ADVANCE NURSING PRACTICE MEDICAL GROUP INC
1409 LECOURBE CT
MODESTO, CA95356-8905
Phone: 209-872-4323
Fax: 209-409-8239
Website:
Specialty Taxonomy Code
* Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for ADVANCE NURSING PRACTICE MEDICAL GROUP INC

NPI Number 1699288993
Legal business name
LBN
ADVANCE NURSING PRACTICE MEDICAL GROUP INC
Authorized official JOSELYN DECULING - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 11/08/2017
Last updated 11/08/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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