Vasquez, Juan Gabriel

Vasquez, Juan Gabriel is an individual health care provider with primary practice located at 3434 Rivertown Point Ct Sw , Grandville MI 49418-3076. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatopathology is his primary health care specialty. Vasquez, Juan Gabriel can be contacted via phone (616) 257-3344.

Contact Information

Primary practice address
3434 Rivertown Point Ct Sw Grandville MI 49418-3076
Phone: (616) 257-3344
Fax: (616) 257-1491
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 5601102220 Michigan
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X 5601102220 Michigan

Profile Details

NPI number 1093981607
LBN Legal business name Vasquez, Juan Gabriel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2008
Last updated Apr 11th, 2022 - about 3 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 1093981607 NPPES
Michigan Other CI2832 MEDICARE RAILROAD GROUP
Michigan Other 070D16223 MEDICARE RAILROAD GROUP
Michigan Other 0D16223 MEDICARE RAILROAD GROUP

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