Medellin, Jesse E

Medellin, Jesse E is an individual health care provider with primary practice located at 1200 Brooklyn Ave Suite #115, San Antonio TX 78212-4803. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Medellin, Jesse E can be contacted via phone (210) 224-6531.

Contact Information

Primary practice address
1200 Brooklyn Ave Suite #115 San Antonio TX 78212-4803
Phone: (210) 224-6531
Fax: (210) 226-0402
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X H8253 Texas

Profile Details

NPI number 1770506297
LBN Legal business name Medellin, Jesse E
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Jan 15th, 2019 - about 7 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 1770506297 NPPES
Texas Other P01547660 RAILROAD MEDICARE
Texas MEDICAID 118379002 RAILROAD MEDICARE
Texas MEDICAID 118379004 RAILROAD MEDICARE
Texas Other 830004821 RAILROAD MEDICARE
Texas Other 924720 RAILROAD MEDICARE
Texas Other 5813027 RAILROAD MEDICARE
Texas Other 83Z203 RAILROAD MEDICARE

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