Vaughan, Patrick J
Vaughan, Patrick J is an individual health care provider with primary practice located at 685 Morro Avenue Suite C, Morro Bay CA 93442-2233. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Vaughan, Patrick J can be contacted via phone (805) 772-7313.Contact Information
Primary practice address
685 Morro Avenue Suite C
Morro Bay CA 93442-2233
Phone: (805) 772-7313
Fax: (805) 772-0395
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | G45794 | California |
Profile Details
| NPI number | 1316905672 |
|---|---|
| LBN Legal business name | Vaughan, Patrick J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2006 |
| Last updated | Dec 26th, 2015 - about 11 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 | 1316905672 | NPPES |
| California | Other | 00G457940 | BLUE SHIELD PIN |
| California | Other | CB234882 | BLUE SHIELD PIN |
| California | MEDICAID | G045794 | BLUE SHIELD PIN |
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