Vega Peralta, Jose Antonio
Vega Peralta, Jose Antonio is an individual health care provider with primary practice located at 15700 37Th Ave N Ste 300 , Plymouth MN 55446-3661. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Vega Peralta, Jose Antonio can be contacted via phone (612) 624-5915.Contact Information
Primary practice address
15700 37Th Ave N Ste 300
Plymouth MN 55446-3661
Phone: (612) 624-5915
Fax: (612) 624-1473
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 55180 | Minnesota |
Profile Details
| NPI number | 1447427588 |
|---|---|
| LBN Legal business name | Vega Peralta, Jose Antonio |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2008 |
| Last updated | Feb 16th, 2018 - about 8 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 | 1447427588 | NPPES |
| Minnesota | Other | 18660 | INTERNAL MEDICINE RESIDENT PERMIT NUMBER |
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