Vasquez, Ricardo
Vasquez, Ricardo is an sole proprietor health care provider with primary practice located at 815 W 2Nd St , Bloomington IN 47403-2212. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Vasquez, Ricardo can be contacted via phone (812) 336-6008.Contact Information
Primary practice address
815 W 2Nd St
Bloomington IN 47403-2212
Phone: (812) 336-6008
Fax: (812) 339-6947
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 01062063A | Indiana |
Profile Details
| NPI number | 1689622573 |
|---|---|
| LBN Legal business name | Vasquez, Ricardo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 4th, 2006 |
| Last updated | Dec 10th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689622573 | NPPES |
| Indiana | Other | 200818170 | MEDICAID GROUP |
| Indiana | Other | P00400660 | MEDICAID GROUP |
| Indiana | Other | 200818170A | MEDICAID GROUP |
| Indiana | Other | 250940 | MEDICAID GROUP |
| Indiana | Other | 517966 | MEDICAID GROUP |
| Indiana | Other | 000000517969 | MEDICAID GROUP |
| Indiana | Other | 250940A | MEDICAID GROUP |
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