Acevedo, Edward
Acevedo, Edward is an individual health care provider with primary practice located at 4158 Judge St Suite B1, Elmhurst NY 11373-2400. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Acevedo, Edward can be contacted via phone (718) 533-8029.Contact Information
Primary practice address
4158 Judge St Suite B1
Elmhurst NY 11373-2400
Phone: (718) 533-8029
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Chiropractic Providers / Chiropractor | 111N00000X | X006707 | New York |
Profile Details
NPI number | 1346276318 |
---|---|
LBN Legal business name | Acevedo, Edward |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 23rd, 2006 |
Last updated | Jul 8th, 2007 - about 17 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 | 1346276318 | NPPES |
New York | MEDICAID | 01804517 |
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