Ortega, Jose O

Ortega, Jose O is an individual health care provider with primary practice located at 805 Saint Vincents Dr Suite 100, Birmingham AL 35205-1636. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Ortega, Jose O can be contacted via phone (205) 939-3699.

Contact Information

Primary practice address
805 Saint Vincents Dr Suite 100 Birmingham AL 35205-1636
Fax: (205) 939-0989
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207RS0010X 21877 Alabama

Profile Details

NPI number 1912974833
LBN Legal business name Ortega, Jose O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Feb 7th, 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 1912974833 NPPES
Alabama Other 51521092 BCBS
Alabama MEDICAID 009912671 BCBS
Alabama Other 51006177 BCBS

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