Vasquez, Antonio

Vasquez, Antonio is an individual health care provider with primary practice located at 2010 15Th St , Bay City MI 48708. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Vasquez, Antonio can be contacted via phone (989) 893-8361.

Contact Information

Primary practice address
2010 15Th St Bay City MI 48708
Fax: (989) 893-3528
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X AV034932 Michigan

Profile Details

NPI number 1568569739
LBN Legal business name Vasquez, Antonio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jul 8th, 2007 - about 18 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 1568569739 NPPES
Michigan Other 11291166 CAQH
Michigan Other 00990150332 CAQH
Michigan MEDICAID 1325154 CAQH

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