Serna, Victor M

Serna, Victor M is an sole proprietor health care provider with primary practice located at 9429 E Myra Dr , Tucson AZ 85730-2941. He recently has 2 registered licenses in different health care specialties including Respite Care Facility / Respite Care, Mental Illness, Child, Agencies / Foster Care Agency. Agencies / Foster Care Agency is his primary health care specialty. Serna, Victor M can be contacted via phone (520) 298-0770.

Contact Information

Primary practice address
9429 E Myra Dr Tucson AZ 85730-2941
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Respite Care Facility / Respite Care, Mental Illness, Child 385HR2055X 3922 Arizona
Agencies / Foster Care Agency 253J00000X

Profile Details

NPI number 1245375005
LBN Legal business name Serna, Victor M
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2007
Last updated Aug 20th, 2021 - about 3 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 1245375005 NPPES
Arizona MEDICAID 745432

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