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
Phone: (209) 323-3480
Fax: (209) 472-9102
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1881745313 | NPPES |
California | MEDICAID | 00G270290 |
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