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
Phone: (304) 855-4595
Fax: (304) 529-0780
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598754285 | NPPES |
| West Virginia | Other | 001721259 | BC |
| West Virginia | MEDICAID | 64694268 | BC |
| West Virginia | MEDICAID | 0094185000 | BC |
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