Huerta, Gustavo Vincent

Huerta, Gustavo Vincent is an individual health care provider with primary practice located at 1760 Nicholasville Rd Ste 202 , Lexington KY 40503-1472. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Huerta, Gustavo Vincent can be contacted via phone (859) 277-5711.

Contact Information

Primary practice address
1760 Nicholasville Rd Ste 202 Lexington KY 40503-1472
Phone: (859) 277-5711
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 54021 Kentucky

Profile Details

NPI number 1134501679
LBN Legal business name Huerta, Gustavo Vincent
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2015
Last updated Aug 14th, 2020 - about 5 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 1134501679 NPPES
Kentucky Other R3798 KENTUCKY MEDICAL LICENSE

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