Rago, Jose Ivan
Rago, Jose Ivan is an sole proprietor health care provider with primary practice located at 287 E. Hunt Highway Suite 105, San Tan Valley AZ 85143-5096. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Adult Medicine. Allopathic & Osteopathic Physicians / Adult Medicine is his primary health care specialty. Rago, Jose Ivan can be contacted via phone (480) 677-8282.Contact Information
Primary practice address
287 E. Hunt Highway Suite 105
San Tan Valley AZ 85143-5096
Phone: (480) 677-8282
Fax: (480) 677-8283
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | R70138 | Arizona |
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | 42140 | Arizona |
Profile Details
| NPI number | 1477714137 |
|---|---|
| LBN Legal business name | Rago, Jose Ivan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 24th, 2008 |
| Last updated | Dec 3rd, 2019 - about 5 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 | 1477714137 | NPPES |
| Arizona | Other | 1477714137 | MEDICARE-NPI |
| Arizona | MEDICAID | 463254 | MEDICARE-NPI |
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