Ramirez, Agustin Alberto
Ramirez, Agustin Alberto is an sole proprietor health care provider with primary practice located at 2916 Peach Blossom Dr Ste 101 , Jeffersonville IN 47130-8380. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ramirez, Agustin Alberto can be contacted via phone (812) 590-1600.Contact Information
Primary practice address
2916 Peach Blossom Dr Ste 101
Jeffersonville IN 47130-8380
Phone: (812) 590-1600
Fax: (812) 590-6561
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 48319 | Kentucky |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01076087A | Indiana |
Profile Details
| NPI number | 1982963740 |
|---|---|
| LBN Legal business name | Ramirez, Agustin Alberto |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 14th, 2012 |
| Last updated | Oct 17th, 2018 - about 6 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 | 1982963740 | NPPES |
| Indiana | MEDICAID | 201092900 | |
| Indiana | MEDICAID | 7100373060 |
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