De Toledo, John C
De Toledo, John C is an individual health care provider with primary practice located at 3601 4Th St , Lubbock TX 79430-8321. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. De Toledo, John C can be contacted via phone (806) 743-2391.Contact Information
Primary practice address
3601 4Th St
Lubbock TX 79430-8321
Phone: (806) 743-2391
Fax: (806) 743-5687
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | N9361 | Texas |
Profile Details
| NPI number | 1477570810 |
|---|---|
| LBN Legal business name | De Toledo, John C |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 15th, 2006 |
| Last updated | Mar 20th, 2024 - about last year |
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 | 1477570810 | NPPES |
| West Virginia | MEDICAID | 3810009737 | |
| West Virginia | MEDICAID | Q0024N | |
| West Virginia | MEDICAID | 202479601 | |
| West Virginia | Other | 198275 | |
| West Virginia | MEDICAID | 1477570810 | |
| West Virginia | Other | 809210 | |
| West Virginia | Other | 144PN | |
| West Virginia | MEDICAID | 5907931 | |
| West Virginia | MEDICAID | 3791921-00 | |
| West Virginia | Other | 4122695 |
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