Alonso, Wilfred Jerome Antonio

Alonso, Wilfred Jerome Antonio is an individual health care provider with primary practice located at 301 University Blvd , Galveston TX 77555-0462. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Alonso, Wilfred Jerome Antonio can be contacted via phone (409) 772-4194.

Contact Information

Primary practice address
301 University Blvd Galveston TX 77555-0462
Phone: (409) 772-4194
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X BP1-0023046 Texas

Profile Details

NPI number 1821292418
LBN Legal business name Alonso, Wilfred Jerome Antonio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2007
Last updated Aug 27th, 2007 - about 17 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 1821292418 NPPES
Other 2795270641 MYUTMB 2795270641-COMMERCIAL NUMBER

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