Barajas, Luis A

Barajas, Luis A is an individual health care provider with primary practice located at 3170 Willowcreek Rd , Portage IN 46368-4424. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Phlebology, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Barajas, Luis A can be contacted via phone (219) 764-7236.

Contact Information

Primary practice address
3170 Willowcreek Rd Portage IN 46368-4424
Phone: (219) 764-7236
Fax: (219) 764-7507
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Phlebology 202K00000X 01050865A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01050865A Indiana

Profile Details

NPI number 1548260680
LBN Legal business name Barajas, Luis A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Oct 28th, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548260680 NPPES
Other 1558361592 NPI
MEDICAID 200279150 NPI

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