Ismael Guerrero Md Pllc
LBN: Ismael Guerrero Md Pllc
Ismael Guerrero Md Pllc is an health care organization with primary practice located at 1965 West 24Th Street Ste A, Yuma AZ 85364. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Ismael Guerrero Md Pllc can be contacted via phone (928) 344-5951, or through Guerrero, Ismael Inclan via phone (928) 344-5951.
Contact Information
Primary practice address
1965 West 24Th Street Ste A
Yuma AZ 85364
Phone: (928) 344-5951
Fax: (928) 344-5779
Website:
Authorized official contact:
Name: Guerrero, Ismael Inclan Doctor of Medicine (MD)
Phone: (928) 344-5951
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 21545 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2891 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1458 | Arizona |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2125 | Arizona |
Profile Details
| NPI number | 1407929920 |
|---|---|
| LBN Legal business name | Ismael Guerrero Md Pllc |
| DBA Doing business as | |
| Authorized official | Guerrero, Ismael Inclan Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 15th, 2006 |
| Last updated | Mar 6th, 2013 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407929920 | NPPES |
| Arizona | MEDICAID | 139841 | |
| Arizona | MEDICAID | 502098 |
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