Castro, Jesse
Castro, Jesse is an sole proprietor health care provider with primary practice located at 700 Airport Rd , Lakewood NJ 08701-5907. He recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as his primary health care specialty. Castro, Jesse can be contacted via phone (732) 367-4700.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | 0029807 | New Jersey |
Profile Details
| NPI number | 1770290967 |
|---|---|
| LBN Legal business name | Castro, Jesse |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 28th, 2022 |
| Last updated | Oct 28th, 2022 - about 2 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 | 1770290967 | NPPES |
| New Jersey | MEDICAID | 0029807 |
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