Alvarez, Jason Robert
Alvarez, Jason Robert is an individual health care provider with primary practice located at 2881 Highway 190 Ste D4 , Mandeville LA 70471-3248. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Alvarez, Jason Robert can be contacted via phone (985) 626-8980.Contact Information
Primary practice address
2881 Highway 190 Ste D4
Mandeville LA 70471-3248
Phone: (985) 626-8980
Fax: (985) 727-4660
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 6261 | Louisiana |
Dental Providers / Dentist | 122300000X | 6261 | Louisiana |
Profile Details
NPI number | 1720348055 |
---|---|
LBN Legal business name | Alvarez, Jason Robert |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 21st, 2012 |
Last updated | Jul 21st, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1720348055 | NPPES |
Louisiana | MEDICAID | 2852582 |
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