Ansley, Vincent A

Ansley, Vincent A is an individual health care provider with primary practice located at 3144 N G Street #125 Pmb 293, Merced CA 95340. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Ansley, Vincent A can be contacted via phone (209) 383-3990.

Contact Information

Primary practice address
3144 N G Street #125 Pmb 293 Merced CA 95340
Phone: (209) 383-3990
Fax: (209) 383-2082
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G41598 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G41598 California

Profile Details

NPI number 1871584185
LBN Legal business name Ansley, Vincent A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Sep 10th, 2007 - about 19 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 1871584185 NPPES
California Other 00G415980 BLUE SHIELD
California MEDICAID 00G415980 BLUE SHIELD

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