Vegas, Tomas Carlos

Vegas, Tomas Carlos is an individual health care provider with primary practice located at 311 W. Fairchild St. Convenient Care, Danville IL 61832-3803. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Vegas, Tomas Carlos can be contacted via phone (217) 431-7600.

Contact Information

Primary practice address
311 W. Fairchild St. Convenient Care Danville IL 61832-3803
Phone: (217) 431-7600
Fax: (217) 431-7850
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01062766A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036138260 Illinois

Profile Details

NPI number 1629277306
LBN Legal business name Vegas, Tomas Carlos
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2007
Last updated Nov 13th, 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 1629277306 NPPES
Indiana Other P00447712 RR MEDICARE
Indiana MEDICAID 200868520 RR MEDICARE

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