John, Lijo
John, Lijo is an individual health care provider with primary practice located at 1300 N 4Th St , Longview TX 75601-4717. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. John, Lijo can be contacted via phone (903) 757-2122.Contact Information
Primary practice address
1300 N 4Th St
Longview TX 75601-4717
Phone: (903) 757-2122
Fax: (903) 757-9475
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | P7933 | Texas |
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | P7933 | Texas |
Profile Details
| NPI number | 1295050037 |
|---|---|
| LBN Legal business name | John, Lijo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 5th, 2010 |
| Last updated | May 18th, 2016 - about 9 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 | 1295050037 | NPPES |
| Texas | MEDICAID | 336215402 | |
| Texas | MEDICAID | 336215401 |
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