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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 8 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 1295050037 NPPES
Texas MEDICAID 336215402
Texas MEDICAID 336215401

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