Balcazar, Luis Javier
Balcazar, Luis Javier is an individual health care provider with primary practice located at 601 Stadium Mall Dr , West Lafayette IN 47907-2052. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Balcazar, Luis Javier can be contacted via phone (765) 494-6995.Contact Information
Primary practice address
601 Stadium Mall Dr
West Lafayette IN 47907-2052
Phone: (765) 494-6995
Fax: (765) 496-2139
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1487055422 |
|---|---|
| LBN Legal business name | Balcazar, Luis Javier |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 9th, 2014 |
| Last updated | Apr 29th, 2016 - about 9 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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