Vesano, Jack Lee
Vesano, Jack Lee is an individual health care provider with primary practice located at 10030 Gilead Rd Suite 160, Huntersville NC 28078-7545. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Vesano, Jack Lee can be contacted via phone (704) 323-2000.Contact Information
Primary practice address
10030 Gilead Rd Suite 160
Huntersville NC 28078-7545
Phone: (704) 323-2000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 16631 | North Carolina |
Profile Details
NPI number | 1780660167 |
---|---|
LBN Legal business name | Vesano, Jack Lee |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 19th, 2005 |
Last updated | Jul 13th, 2024 - about last year |
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 | 1780660167 | NPPES |
North Carolina | MEDICAID | 8985061 | |
North Carolina | MEDICAID | 180282 |
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