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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780660167 NPPES
North Carolina MEDICAID 8985061
North Carolina MEDICAID 180282

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