Vidaurre, Jorge Alberto

Vidaurre, Jorge Alberto is an individual health care provider with primary practice located at 555 S 18Th St , Columbus OH 43205-2696. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Clinical Neurophysiology, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is his primary health care specialty. Vidaurre, Jorge Alberto can be contacted via phone (614) 722-6200.

Contact Information

Primary practice address
555 S 18Th St Columbus OH 43205-2696
Phone: (614) 722-6200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X 35087257 Ohio
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X 35087257 Ohio
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 35087257 Ohio

Profile Details

NPI number 1699736165
LBN Legal business name Vidaurre, Jorge Alberto
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Nov 30th, 2022 - about 2 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 1699736165 NPPES
Ohio Other 4177661 CGS - MEDICARE
Ohio MEDICAID 0080530 CGS - MEDICARE

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