Velasco, Alfonso
Velasco, Alfonso is an sole proprietor health care provider with primary practice located at 4011 N Fresno St Ste 101, Fresno CA 93726-4028. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Velasco, Alfonso can be contacted via phone (559) 227-6691.Contact Information
Primary practice address
4011 N Fresno St Ste 101
Fresno CA 93726-4028
Phone: (559) 227-6691
Fax: (559) 227-3765
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A29360 | California |
Profile Details
| NPI number | 1396740536 |
|---|---|
| LBN Legal business name | Velasco, Alfonso |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 15th, 2005 |
| Last updated | Feb 24th, 2014 - about 11 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 | 1396740536 | NPPES |
| California | MEDICAID | 00A293600 |
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