Enriquez, Theresa

Enriquez, Theresa is an sole proprietor health care provider with primary practice located at 210 W 7Th St , Oxnard CA 93030-7173. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Enriquez, Theresa can be contacted via phone (805) 394-0898.

Contact Information

Primary practice address
210 W 7Th St Oxnard CA 93030-7173
Fax: (805) 394-0897
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G49327 California

Profile Details

NPI number 1679514202
LBN Legal business name Enriquez, Theresa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2006
Last updated Jan 10th, 2020 - about 4 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 1679514202 NPPES
California MEDICAID 00G493270

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