Cardenas, Javier De Jesus

Cardenas, Javier De Jesus is an individual health care provider with primary practice located at 133 Pleasant St , Berlin NH 03570-2006. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Cardenas, Javier De Jesus can be contacted via phone (603) 752-2040.

Contact Information

Primary practice address
133 Pleasant St Berlin NH 03570-2006
Phone: (603) 752-2040
Fax: (603) 752-1709
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301084608 Michigan
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 13517 New Hampshire

Profile Details

NPI number 1134168859
LBN Legal business name Cardenas, Javier De Jesus
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Nov 26th, 2014 - about 10 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 1134168859 NPPES
New Hampshire MEDICAID 30206853

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