Duque, John J
Duque, John J is an sole proprietor health care provider with primary practice located at 480 4Th Ave Suite 316, Chula Vista CA 91910-4410. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Duque, John J can be contacted via phone (619) 691-0240.Contact Information
Primary practice address
480 4Th Ave Suite 316
Chula Vista CA 91910-4410
Phone: (619) 691-0240
Fax: (619) 691-8804
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | G48442 | California |
Profile Details
| NPI number | 1295710747 |
|---|---|
| LBN Legal business name | Duque, John J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 7th, 2005 |
| Last updated | Nov 25th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295710747 | NPPES |
| California | MEDICAID | 00G484420 |
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