Sarabosing, Luciano Jo
Sarabosing, Luciano Jo is an sole proprietor health care provider with primary practice located at 2108 N Laurent St , Victoria TX 77901-5451. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Sarabosing, Luciano Jo can be contacted via phone (361) 578-3604.Contact Information
Primary practice address
2108 N Laurent St
Victoria TX 77901-5451
Phone: (361) 578-3604
Fax: (361) 576-4397
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | J7177 | Texas |
Profile Details
NPI number | 1760439335 |
---|---|
LBN Legal business name | Sarabosing, Luciano Jo |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 28th, 2006 |
Last updated | Mar 7th, 2023 - about last year |
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 | 1760439335 | NPPES |
Texas | MEDICAID | 135718809 | |
Texas | Other | 0038MN | |
Texas | Other | N0089582 | |
Texas | Other | 16758440 | |
Texas | MEDICAID | 170867901 | |
Texas | MEDICAID | 170867902 | |
Texas | Other | J7177 | |
Texas | Other | 45D1037942 |
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