Aviles, Jeanette
Aviles, Jeanette is an individual health care provider with primary practice located at 2710 Middlefield Rd , Redwood City CA 94063-3404. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Aviles, Jeanette can be contacted via phone (650) 573-2222.Contact Information
Primary practice address
2710 Middlefield Rd
Redwood City CA 94063-3404
Phone: (650) 573-2222
Fax: (650) 298-6881
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A55206 | California |
Profile Details
| NPI number | 1184772576 |
|---|---|
| LBN Legal business name | Aviles, Jeanette |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Jan 6th, 2011 - about 13 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 | 1184772576 | NPPES |
| California | MEDICAID | 00A552060 |
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