Quintero, Victor J

Quintero, Victor J is an sole proprietor health care provider with primary practice located at 4510 Frederick Ave , Saint Joseph MO 64506-3238. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Quintero, Victor J can be contacted via phone (816) 364-9992.

Contact Information

Primary practice address
4510 Frederick Ave Saint Joseph MO 64506-3238
Phone: (816) 364-9992
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 1492371111 Kansas
Nursing Service Providers / Registered Nurse 163W00000X 111099 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 55144 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 55144 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 111099 Missouri

Profile Details

NPI number 1386627388
LBN Legal business name Quintero, Victor J
Credentials RN ARNP CRNA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 22nd, 2005
Last updated Oct 20th, 2008 - about 16 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 1386627388 NPPES
Missouri Other 5717188 COMMUNITY HEALTH PLAN
Missouri MEDICAID 20003630B COMMUNITY HEALTH PLAN
Missouri Other P00396938 COMMUNITY HEALTH PLAN
Missouri Other 15577 COMMUNITY HEALTH PLAN
Missouri Other 21047031 COMMUNITY HEALTH PLAN
Missouri Other 145355 COMMUNITY HEALTH PLAN
Missouri MEDICAID 917831216 COMMUNITY HEALTH PLAN
Missouri Other P00365475 COMMUNITY HEALTH PLAN

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