Vescera, Samuel V

Vescera, Samuel V is an sole proprietor health care provider with primary practice located at 10200 Trinity Pkwy Suite 101, Stockton CA 95219-7249. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Vescera, Samuel V can be contacted via phone (209) 323-3480.

Contact Information

Primary practice address
10200 Trinity Pkwy Suite 101 Stockton CA 95219-7249
Fax: (209) 472-9102
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X G27029 California

Profile Details

NPI number 1881745313
LBN Legal business name Vescera, Samuel V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 12th, 2007
Last updated May 8th, 2009 - about 15 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 1881745313 NPPES
California MEDICAID 00G270290

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