Vazquez, Librada Teresa

Vazquez, Librada Teresa is an individual health care provider with primary practice located at 600 Grant St , Gary IN 46402-6001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Vazquez, Librada Teresa can be contacted via phone (219) 886-4573.

Contact Information

Primary practice address
600 Grant St Gary IN 46402-6001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 01037861A Indiana

Profile Details

NPI number 1154391472
LBN Legal business name Vazquez, Librada Teresa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Oct 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154391472 NPPES
Indiana Other 000000383417 ANTHEM BCBS

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