Sallaberry, Jorge L
Sallaberry, Jorge L is an individual health care provider with primary practice located at 1930 E Orman Ave , Pueblo CO 81004-3553. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Sallaberry, Jorge L can be contacted via phone (719) 561-8574.Contact Information
Primary practice address
1930 E Orman Ave
Pueblo CO 81004-3553
Phone: (719) 561-8574
Fax: (719) 564-9180
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | M-14732 | Idaho |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 12639 | Nevada |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 12639 | Utah |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 41468 | Colorado |
Profile Details
| NPI number | 1841270519 |
|---|---|
| LBN Legal business name | Sallaberry, Jorge L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2006 |
| Last updated | Jan 18th, 2022 - about 2 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 | 1841270519 | NPPES |
| Colorado | MEDICAID | 56972377 |
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