Soares, Trajan Joaquin
Soares, Trajan Joaquin is an individual health care provider with primary practice located at 1028 6Th St , Los Banos CA 93635-4218. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Soares, Trajan Joaquin can be contacted via phone (209) 826-1434.Contact Information
Primary practice address
1028 6Th St
Los Banos CA 93635-4218
Phone: (209) 826-1434
Fax: (209) 826-8375
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT9569TPA | California |
Profile Details
| NPI number | 1982609590 |
|---|---|
| LBN Legal business name | Soares, Trajan Joaquin |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1982609590 | NPPES |
| California | MEDICAID | SD0095690 |
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