Ignacio Vitug, Maria Revina Ochoa

Ignacio Vitug, Maria Revina Ochoa is an individual health care provider with primary practice located at 521 N Young St , Kennewick WA 99336-7806. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Ignacio Vitug, Maria Revina Ochoa can be contacted via phone (509) 221-5222.

Contact Information

Primary practice address
521 N Young St Kennewick WA 99336-7806
Phone: (509) 221-5222
Fax: (509) 221-5271
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 36208 Wisconsin

Profile Details

NPI number 1417938556
LBN Legal business name Ignacio Vitug, Maria Revina Ochoa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Mar 2nd, 2021 - about 3 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 1417938556 NPPES
Wisconsin MEDICAID 1417938556

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