Vazquez, Emilio J

Vazquez, Emilio J is an individual health care provider with primary practice located at 4402 E State Blvd , Fort Wayne IN 46815-6917. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Vazquez, Emilio J can be contacted via phone (260) 425-5500.

Contact Information

Primary practice address
4402 E State Blvd Fort Wayne IN 46815-6917
Phone: (260) 425-5500
Fax: (260) 425-5505
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01048856A Indiana

Profile Details

NPI number 1134120421
LBN Legal business name Vazquez, Emilio J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Oct 12th, 2022 - about 2 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 1134120421 NPPES
Indiana Other 080118012 RAILROAD MEDICARE
Indiana Other 9081 RAILROAD MEDICARE
Indiana Other 000000191942 RAILROAD MEDICARE
Indiana MEDICAID 200169800 RAILROAD MEDICARE
Indiana Other 000000081113 RAILROAD MEDICARE

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