Banuelos, Alfonso F
Banuelos, Alfonso F is an individual health care provider with primary practice located at 751 S Bascom Ave Hospital Administration, San Jose CA 95128-2604. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Banuelos, Alfonso F can be contacted via phone (408) 885-4001.Contact Information
Primary practice address
751 S Bascom Ave Hospital Administration
San Jose CA 95128-2604
Phone: (408) 885-4001
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | G45949 | California |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G45949 | California |
Profile Details
| NPI number | 1295720613 |
|---|---|
| LBN Legal business name | Banuelos, Alfonso F |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2005 |
| Last updated | Sep 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295720613 | NPPES |
| California | MEDICAID | 00G459490 |
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