Maldonado-Vazquez, Jose

Maldonado-Vazquez, Jose is an individual health care provider with primary practice located at 104 W 6Th St , Clare MI 48617-1409. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Maldonado-Vazquez, Jose can be contacted via phone (989) 386-9951.

Contact Information

Primary practice address
104 W 6Th St Clare MI 48617-1409
Phone: (989) 386-9951
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 069529 Michigan

Profile Details

NPI number 1669413282
LBN Legal business name Maldonado-Vazquez, Jose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Aug 31st, 2010 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669413282 NPPES
Michigan MEDICAID 4081947
Michigan Other JM069529
Michigan MEDICAID 4081938
Michigan MEDICAID 4081929
Michigan MEDICAID 4091934
Michigan MEDICAID 4091943

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