Sanchez Bastidas, Jose Ramon

Sanchez Bastidas, Jose Ramon is an sole proprietor health care provider with primary practice located at 1453 N Main Street Suite 6, San Luis AZ 85336. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Sanchez Bastidas, Jose Ramon can be contacted via phone (928) 459-3508.

Contact Information

Primary practice address
1453 N Main Street Suite 6 San Luis AZ 85336
Phone: (928) 459-3508
Fax: (928) 459-3515
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 271774 Arizona
Nursing Service Providers / Registered Nurse 163W00000X RN180685 Arizona

Profile Details

NPI number 1629724075
LBN Legal business name Sanchez Bastidas, Jose Ramon
Credentials NP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 24th, 2022
Last updated Mar 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629724075 NPPES
Arizona MEDICAID 121183

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