Acevedo, Jose H
Acevedo, Jose H is an individual health care provider with primary practice located at 1299 Interstate Pkwy , Augusta GA 30909-6481. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Acevedo, Jose H can be contacted via phone (706) 863-2246.Contact Information
Primary practice address
1299 Interstate Pkwy
Augusta GA 30909-6481
Phone: (706) 863-2246
Fax: (706) 863-6062
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 025499 | Georgia |
Profile Details
NPI number | 1356327027 |
---|---|
LBN Legal business name | Acevedo, Jose H |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 15th, 2005 |
Last updated | Feb 18th, 2021 - about 4 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 | 1356327027 | NPPES |
Georgia | MEDICAID | 022167194A | |
Georgia | MEDICAID | G25499 | |
Georgia | MEDICAID | 000302684A |
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