Loyo-Molina, Jose Gregorio

Loyo-Molina, Jose Gregorio is an individual health care provider with primary practice located at 2900 Medical Center Pkwy Suite 240A, Bentonville AR 72712-3204. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Loyo-Molina, Jose Gregorio can be contacted via phone (479) 553-2200.

Contact Information

Primary practice address
2900 Medical Center Pkwy Suite 240A Bentonville AR 72712-3204
Fax: (479) 553-2909
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X T2007-145 Arkansas
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X E5516 Arkansas

Profile Details

NPI number 1134314511
LBN Legal business name Loyo-Molina, Jose Gregorio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2007
Last updated Feb 5th, 2013 - about 11 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 1134314511 NPPES
Oklahoma MEDICAID 200120720A
Oklahoma MEDICAID 166408001

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