Inigo, Maricar
Inigo, Maricar is an individual health care provider with primary practice located at 243 Georgia Street Ste B, Vallejo CA 94590. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Inigo, Maricar can be contacted via phone (707) 556-8100.Contact Information
Primary practice address
243 Georgia Street Ste B
Vallejo CA 94590
Phone: (707) 556-8100
Fax: (707) 556-8107
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | NP15426 | California |
Profile Details
| NPI number | 1104929165 |
|---|---|
| LBN Legal business name | Inigo, Maricar |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 6th, 2006 |
| Last updated | Jul 10th, 2015 - about 11 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 | 1104929165 | NPPES |
| California | Other | 55-1915 | FQHC MEDICARE PART A |
| California | Other | HAP70543G | FQHC MEDICARE PART A |
| California | MEDICAID | FHC70543G | FQHC MEDICARE PART A |
| California | Other | ZZZ23222Z | FQHC MEDICARE PART A |
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