Vega, Jose Luis
Vega, Jose Luis is an sole proprietor health care provider with primary practice located at 675 S Avenue B , Yuma AZ 85364-2749. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Vega, Jose Luis can be contacted via phone (928) 539-3140.Contact Information
Primary practice address
675 S Avenue B
Yuma AZ 85364-2749
Phone: (928) 539-3140
Fax: (928) 782-5296
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 54496 | Arizona |
Profile Details
| NPI number | 1881955169 |
|---|---|
| LBN Legal business name | Vega, Jose Luis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 4th, 2012 |
| Last updated | Feb 14th, 2019 - about 7 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 | 1881955169 | NPPES |
| Arizona | MEDICAID | 303915 |
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