Esnard, Juan M

Esnard, Juan M is an individual health care provider with primary practice located at 2064 Vineville Ave , Macon GA 31204-3140. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Esnard, Juan M can be contacted via phone (478) 745-5035.

Contact Information

Primary practice address
2064 Vineville Ave Macon GA 31204-3140
Phone: (478) 745-5035
Fax: (478) 746-8536
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 037197 Georgia

Profile Details

NPI number 1225088289
LBN Legal business name Esnard, Juan M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Feb 21st, 2014 - 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 1225088289 NPPES
Georgia MEDICAID 00560744

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