Acosta Vega, Jorge Luis

Acosta Vega, Jorge Luis is an sole proprietor health care provider with primary practice located at 5285 Tipper Ave , Las Vegas NV 89122-6964. He recently has 2 registered licenses in different health care specialties including Agencies / In Home Supportive Care, Nursing Service Related Providers / Personal Care Attendant. Nursing Service Related Providers / Personal Care Attendant is his primary health care specialty. Acosta Vega, Jorge Luis can be contacted via phone (702) 542-6017.

Contact Information

Primary practice address
5285 Tipper Ave Las Vegas NV 89122-6964
Phone: (702) 542-6017
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1457973638
LBN Legal business name Acosta Vega, Jorge Luis
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2020
Last updated Feb 11th, 2022 - about 2 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 1457973638 NPPES
Nevada MEDICAID 2103531912

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