Arevalo, Luis Ernesto

Arevalo, Luis Ernesto is an individual health care provider with primary practice located at 1 Harmon Meadow Blvd Fl 4 , Secaucus NJ 07094-3600. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Arevalo, Luis Ernesto can be contacted via phone (201) 590-6700.

Contact Information

Primary practice address
1 Harmon Meadow Blvd Fl 4 Secaucus NJ 07094-3600
Phone: (201) 590-6700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1215660519
LBN Legal business name Arevalo, Luis Ernesto
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2022
Last updated Jul 5th, 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 1215660519 NPPES
New Jersey MEDICAID 0029807

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