Enriquez, Jorge

Enriquez, Jorge is an individual health care provider with primary practice located at 2021 22Nd St , Bakersfield CA 93301-3802. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Enriquez, Jorge can be contacted via phone (661) 864-7076.

Contact Information

Primary practice address
2021 22Nd St Bakersfield CA 93301-3802
Phone: (661) 864-7076
Fax: (661) 864-7131
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X A49936 California

Profile Details

NPI number 1043210016
LBN Legal business name Enriquez, Jorge
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Jan 3rd, 2017 - about 9 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 1043210016 NPPES
California MEDICAID 00A499360

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