Vasquez, Antonio
Vasquez, Antonio is an individual health care provider with primary practice located at 2010 15Th St , Bay City MI 48708. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Vasquez, Antonio can be contacted via phone (989) 893-8361.Contact Information
Primary practice address
2010 15Th St
Bay City MI 48708
Phone: (989) 893-8361
Fax: (989) 893-3528
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | AV034932 | Michigan |
Profile Details
| NPI number | 1568569739 |
|---|---|
| LBN Legal business name | Vasquez, Antonio |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1568569739 | NPPES |
| Michigan | Other | 11291166 | CAQH |
| Michigan | Other | 00990150332 | CAQH |
| Michigan | MEDICAID | 1325154 | CAQH |
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