Vallejos, Javier M

Vallejos, Javier M is an individual health care provider with primary practice located at 22 Fleming Drive , Harts WV 25524. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Vallejos, Javier M can be contacted via phone (304) 855-4595.

Contact Information

Primary practice address
22 Fleming Drive Harts WV 25524
Fax: (304) 529-0780
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 11634 West Virginia

Profile Details

NPI number 1598754285
LBN Legal business name Vallejos, Javier M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2005
Last updated Sep 17th, 2013 - about 12 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 1598754285 NPPES
West Virginia Other 001721259 BC
West Virginia MEDICAID 64694268 BC
West Virginia MEDICAID 0094185000 BC

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