Jaramillo, Sergio

Jaramillo, Sergio is an sole proprietor health care provider with primary practice located at 2600 Kings Hwy , Shreveport LA 71103-3950. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Jaramillo, Sergio can be contacted via phone (318) 212-8300.

Contact Information

Primary practice address
2600 Kings Hwy Shreveport LA 71103-3950
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X BP20058072 Texas

Profile Details

NPI number 1659767127
LBN Legal business name Jaramillo, Sergio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2015
Last updated Jun 17th, 2021 - about 4 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 1659767127 NPPES
Texas Other BP20058072 TEXAS PERMIT NUMBER

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