Barragan, Juan Carlos

Barragan, Juan Carlos is an sole proprietor health care provider with primary practice located at 1561 Westchester Ave , Bronx NY 10472-2912. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Barragan, Juan Carlos can be contacted via phone (718) 328-6200.

Contact Information

Primary practice address
1561 Westchester Ave Bronx NY 10472-2912
Phone: (718) 328-6200
Fax: (718) 328-6733
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N004648-1 New York

Profile Details

NPI number 1962401190
LBN Legal business name Barragan, Juan Carlos
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2005
Last updated Jan 29th, 2013 - about 12 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 1962401190 NPPES
New York MEDICAID 01141299

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