Colon-Alcaraz, Vicente M

Colon-Alcaraz, Vicente M is an individual health care provider with primary practice located at 7210 W Main St , Belleville IL 62223-3038. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Colon-Alcaraz, Vicente M can be contacted via phone (618) 394-0712.

Contact Information

Primary practice address
7210 W Main St Belleville IL 62223-3038
Fax: (618) 394-1346
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036084767 Illinois
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 105451 Missouri

Profile Details

NPI number 1861595647
LBN Legal business name Colon-Alcaraz, Vicente M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2006
Last updated Nov 1st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861595647 NPPES
Illinois MEDICAID 036084767

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