Vasquez, Juan M

Vasquez, Juan M is an sole proprietor health care provider with primary practice located at 9264 S. Wilt Bank Road , Tucson AZ 85735. He recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as his primary health care specialty. Vasquez, Juan M can be contacted via phone (520) 440-0630.

Contact Information

Primary practice address
9264 S. Wilt Bank Road Tucson AZ 85735
Phone: (520) 440-0630
Fax: (520) 319-5491
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X 2433 Arizona

Profile Details

NPI number 1912046566
LBN Legal business name Vasquez, Juan M
Credentials NONE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2007
Last updated Jul 8th, 2007 - about 17 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 1912046566 NPPES
Arizona Other 2433 BEHAVIORAL HEALTH NUMBER

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