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Contact Information

JAVIER URTEAGA JR
431 MEADOWLARK ST
SHAW AFB, SC29152-5019
 Phone: 803-895-2273
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JAVIER URTEAGA JR · (Male)

NPI # 1194460089
Status Active
Credentials
Entity Individual
Enumeration date 05/04/2022
Last updated 03/23/2026 - About 2 months ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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