Benalcazar, Luis M
Benalcazar, Luis M is an individual health care provider with primary practice located at 310 Morris Ave Suite 301, Elizabeth NJ 07208-3695. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Benalcazar, Luis M can be contacted via phone (908) 353-3626.Contact Information
Primary practice address
310 Morris Ave Suite 301
Elizabeth NJ 07208-3695
Phone: (908) 353-3626
Fax: (908) 353-3625
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MA07504600 | New Jersey |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2325031 | New York |
Profile Details
NPI number | 1801878269 |
---|---|
LBN Legal business name | Benalcazar, Luis M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 18th, 2005 |
Last updated | Dec 1st, 2017 - about 7 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 | 1801878269 | NPPES |
New Jersey | MEDICAID | 0028410 |
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