Liquete, Johnny A
Liquete, Johnny A is an sole proprietor health care provider with primary practice located at 14114 Business Center Dr Suite D, Moreno Valley CA 92553-9113. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Liquete, Johnny A can be contacted via phone (951) 697-1150.Contact Information
Primary practice address
14114 Business Center Dr Suite D
Moreno Valley CA 92553-9113
Phone: (951) 697-1150
Fax: (951) 697-1189
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A49014 | California |
Profile Details
NPI number | 1366438574 |
---|---|
LBN Legal business name | Liquete, Johnny A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 22nd, 2005 |
Last updated | Jul 18th, 2011 - about 14 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 | 1366438574 | NPPES |
California | MEDICAID | 00A490141 |
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