Llano, Alfonso

Llano, Alfonso is an individual health care provider with primary practice located at 7383 E Tanque Verde Rd , Tucson AZ 85715-3475. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Llano, Alfonso can be contacted via phone (520) 318-3434.

Contact Information

Primary practice address
7383 E Tanque Verde Rd Tucson AZ 85715-3475
Phone: (520) 318-3434
Fax: (520) 296-6224
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101223311 Virginia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 41384 Arizona

Profile Details

NPI number 1558368787
LBN Legal business name Llano, Alfonso
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Jan 14th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558368787 NPPES
Virginia Other 219970 ANTHEM BC/BS
Virginia Other 541910047 ANTHEM BC/BS
Virginia Other 298373 ANTHEM BC/BS
Virginia Other 541910047 ANTHEM BC/BS
Virginia Other 603296 ANTHEM BC/BS
Virginia Other 110231194 ANTHEM BC/BS
Virginia MEDICAID 8906415 ANTHEM BC/BS
Virginia MEDICAID 911940000 ANTHEM BC/BS
Virginia MEDICAID 005863571 ANTHEM BC/BS
Virginia Other 51574 ANTHEM BC/BS

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