Sallaberry, Jorge L

Sallaberry, Jorge L is an individual health care provider with primary practice located at 1930 E Orman Ave , Pueblo CO 81004-3553. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Sallaberry, Jorge L can be contacted via phone (719) 561-8574.

Contact Information

Primary practice address
1930 E Orman Ave Pueblo CO 81004-3553
Phone: (719) 561-8574
Fax: (719) 564-9180
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X M-14732 Idaho
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 12639 Nevada
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 12639 Utah
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 41468 Colorado

Profile Details

NPI number 1841270519
LBN Legal business name Sallaberry, Jorge L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Jan 18th, 2022 - 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 1841270519 NPPES
Colorado MEDICAID 56972377

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