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:
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Health care specialties

SpecialtyCodeLicense #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 13 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 1992825061 NPPES
Arizona MEDICAID 732421

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