Carcamo, Jorge Yamil
Carcamo, Jorge Yamil is an sole proprietor health care provider with primary practice located at 134 Ridge Rd , Lyndhurst NJ 07071. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Carcamo, Jorge Yamil can be contacted via phone (201) 933-1700.Contact Information
Primary practice address
134 Ridge Rd
Lyndhurst NJ 07071
Phone: (201) 933-1700
Fax: (201) 355-4611
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 22DI01561600 | New Jersey |
Profile Details
| NPI number | 1841322542 |
|---|---|
| LBN Legal business name | Carcamo, Jorge Yamil |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 9th, 2007 |
| Last updated | Mar 9th, 2020 - about 4 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 | 1841322542 | NPPES |
| New Jersey | MEDICAID | 09674784E |
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