Balderrama, Voltaire Reyes

Balderrama, Voltaire Reyes is an sole proprietor health care provider with primary practice located at 600 S Livingston Ave Ste 210 , Livingston NJ 07039-5415. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Balderrama, Voltaire Reyes can be contacted via phone (800) 530-3247.

Contact Information

Primary practice address
600 S Livingston Ave Ste 210 Livingston NJ 07039-5415
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X PT40QA00844300 New Jersey

Profile Details

NPI number 1154525186
LBN Legal business name Balderrama, Voltaire Reyes
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2007
Last updated Jul 8th, 2007 - about 18 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 1154525186 NPPES
New Jersey Other 40QA00844300 PT LICENSE NUMBER

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