Vazquez, Jose A.

Vazquez, Jose A. is an individual health care provider with primary practice located at 1120 15Th Street , Augusta GA 30912-0004. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Vazquez, Jose A. can be contacted via phone (706) 724-6100.

Contact Information

Primary practice address
1120 15Th Street Augusta GA 30912-0004
Phone: (706) 724-6100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301053567 Michigan
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 4301053567 Michigan

Profile Details

NPI number 1518035054
LBN Legal business name Vazquez, Jose A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2006
Last updated Feb 24th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518035054 NPPES
Michigan MEDICAID 450327810
Michigan Other JV053567
Michigan Other JV053567
Michigan MEDICAID 003141369A
Michigan Other 440Q263940
Michigan Other 52609049 001

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