Contreras, Jorge Ivan

Contreras, Jorge Ivan is an individual health care provider with primary practice located at 5959 Gateway Blvd W 160, El Paso TX 79925-3331. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Contreras, Jorge Ivan can be contacted via phone (915) 779-1716.

Contact Information

Primary practice address
5959 Gateway Blvd W 160 El Paso TX 79925-3331
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X RS20070279 New Mexico
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X P7624 Texas

Profile Details

NPI number 1033315411
LBN Legal business name Contreras, Jorge Ivan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2007
Last updated Aug 26th, 2013 - about 11 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 1033315411 NPPES
New Mexico Other RS20070279 TRAINING

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