Vanatta, Paul R

Vanatta, Paul R is an individual health care provider with primary practice located at 6200 N La Cholla Blvd , Tucson AZ 85741-3529. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Vanatta, Paul R can be contacted via phone (520) 297-7826.

Contact Information

Primary practice address
6200 N La Cholla Blvd Tucson AZ 85741-3529
Fax: (520) 544-0060
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 15955 Arizona

Profile Details

NPI number 1629068051
LBN Legal business name Vanatta, Paul R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Feb 22nd, 2016 - about 9 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 1629068051 NPPES
Arizona MEDICAID 263111
Arizona Other AZ0260290

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