Vasquez, Ricardo

Vasquez, Ricardo is an sole proprietor health care provider with primary practice located at 815 W 2Nd St , Bloomington IN 47403-2212. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Vasquez, Ricardo can be contacted via phone (812) 336-6008.

Contact Information

Primary practice address
815 W 2Nd St Bloomington IN 47403-2212
Phone: (812) 336-6008
Fax: (812) 339-6947
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 01062063A Indiana

Profile Details

NPI number 1689622573
LBN Legal business name Vasquez, Ricardo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2006
Last updated Dec 10th, 2008 - about 18 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 1689622573 NPPES
Indiana Other 200818170 MEDICAID GROUP
Indiana Other P00400660 MEDICAID GROUP
Indiana Other 200818170A MEDICAID GROUP
Indiana Other 250940 MEDICAID GROUP
Indiana Other 517966 MEDICAID GROUP
Indiana Other 000000517969 MEDICAID GROUP
Indiana Other 250940A MEDICAID GROUP

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