Vargas, Jason Daniel

Vargas, Jason Daniel is an individual health care provider with primary practice located at 5940 W Union Hills Dr Suite D-100, Glendale AZ 85308-1308. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Vargas, Jason Daniel can be contacted via phone (602) 978-2500.

Contact Information

Primary practice address
5940 W Union Hills Dr Suite D-100 Glendale AZ 85308-1308
Phone: (602) 978-2500
Fax: (602) 938-2198
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 32657 Arizona
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A78630 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ML20006245 Washington

Profile Details

NPI number 1073678553
LBN Legal business name Vargas, Jason Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2006
Last updated Jul 19th, 2011 - about 13 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 1073678553 NPPES
Arizona MEDICAID 220616001

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