Vega, Carlos Jesus
Vega, Carlos Jesus is an sole proprietor health care provider with primary practice located at 1298 E Avenida Grande , Casa Grande AZ 85222-1006. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Vega, Carlos Jesus can be contacted via phone (520) 836-1835.Contact Information
Primary practice address
1298 E Avenida Grande
Casa Grande AZ 85222-1006
Phone: (520) 836-1835
Fax: (520) 876-4653
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1020 | Arizona |
Profile Details
| NPI number | 1992825061 |
|---|---|
| LBN Legal business name | Vega, Carlos Jesus |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 30th, 2007 |
| Last updated | Aug 13th, 2012 - about 12 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 | 1992825061 | NPPES |
| Arizona | MEDICAID | 732421 |
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