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
Phone: (318) 212-8300
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1659767127 | NPPES |
Texas | Other | BP20058072 | TEXAS PERMIT NUMBER |
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