Velasco-Trujillo, Juan Carlos

Velasco-Trujillo, Juan Carlos is an individual health care provider with primary practice located at 1500 Matthews Township Pkwy , Matthews NC 28105-4656. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Velasco-Trujillo, Juan Carlos can be contacted via phone (704) 384-5416.

Contact Information

Primary practice address
1500 Matthews Township Pkwy Matthews NC 28105-4656
Phone: (704) 384-5416
Fax: (704) 384-5992
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X TL30094 South Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2010-01148 North Carolina
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 2010-01148 North Carolina

Profile Details

NPI number 1700086899
LBN Legal business name Velasco-Trujillo, Juan Carlos
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2007
Last updated Oct 25th, 2020 - about 4 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 1700086899 NPPES
South Carolina Other P00437847 RAIL ROAD MEDICARE
South Carolina MEDICAID 5916052 RAIL ROAD MEDICARE
South Carolina MEDICAID 300944 RAIL ROAD MEDICARE

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