Cordero, Juan A

Cordero, Juan A is an individual health care provider with primary practice located at 1100 Goethals Dr 3Rd Floor, Richland WA 99352-3304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Cordero, Juan A can be contacted via phone (509) 942-3095.

Contact Information

Primary practice address
1100 Goethals Dr 3Rd Floor Richland WA 99352-3304
Phone: (509) 942-3095
Fax: (509) 942-3097
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X MD00047531 Washington

Profile Details

NPI number 1669474151
LBN Legal business name Cordero, Juan A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated May 10th, 2021 - 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 1669474151 NPPES
Washington Other 0237446 LABOR & INDUSTRIES
Washington MEDICAID 02597148 LABOR & INDUSTRIES
Washington MEDICAID 8478687 LABOR & INDUSTRIES

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