Canlas, Judith Rivera

Canlas, Judith Rivera is an individual health care provider with primary practice located at 4011 Gateway Blvd , Newburgh IN 47630-8947. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Canlas, Judith Rivera can be contacted via phone (812) 842-3990.

Contact Information

Primary practice address
4011 Gateway Blvd Newburgh IN 47630-8947
Phone: (812) 842-3990
Fax: (812) 842-3738
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 39928 Kentucky
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 01062700A Indiana

Profile Details

NPI number 1912926734
LBN Legal business name Canlas, Judith Rivera
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Jul 21st, 2022 - about 3 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 1912926734 NPPES
Kentucky MEDICAID 64126907
Kentucky MEDICAID 200833900

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