Alva, Juan Jose
Alva, Juan Jose is an sole proprietor health care provider with primary practice located at 2400 Broad St Ste 1, Durham NC 27704-2661. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Alva, Juan Jose can be contacted via phone (919) 220-9800.Contact Information
Primary practice address
2400 Broad St Ste 1
Durham NC 27704-2661
Phone: (919) 220-9800
Fax: (919) 220-9500
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 21391 | North Carolina |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 21391 | North Carolina |
Profile Details
| NPI number | 1992781629 |
|---|---|
| LBN Legal business name | Alva, Juan Jose |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 15th, 2005 |
| Last updated | Mar 21st, 2014 - about 10 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 | 1992781629 | NPPES |
| North Carolina | MEDICAID | 8910986 | |
| North Carolina | Other | 202592 |
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