Vasconez, Luis O

Vasconez, Luis O is an individual health care provider with primary practice located at 619 19Th Street South , Birmingham AL 35233. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Vasconez, Luis O can be contacted via phone (205) 934-4011.

Contact Information

Primary practice address
619 19Th Street South Birmingham AL 35233
Phone: (205) 934-4011
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 12399 Alabama

Profile Details

NPI number 1235151424
LBN Legal business name Vasconez, Luis O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated May 28th, 2011 - about 14 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 1235151424 NPPES
Alabama MEDICAID 000014647
Alabama Other 000014647
Alabama MEDICAID 009932092
Alabama Other 051529687
Alabama Other A47233

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