Cervantes, Luis A

Cervantes, Luis A is an sole proprietor health care provider with primary practice located at 500 Plaza Court , East Stroudsburg PA 18301-3124. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Cervantes, Luis A can be contacted via phone (570) 426-2758.

Contact Information

Primary practice address
500 Plaza Court East Stroudsburg PA 18301-3124
Phone: (570) 426-2758
Fax: (570) 426-2665
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X MA44094 New Jersey
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X MD462928 Pennsylvania

Profile Details

NPI number 1215933353
LBN Legal business name Cervantes, Luis A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2005
Last updated Nov 27th, 2018 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215933353 NPPES
New Jersey Other 0108926000 AMERIHEALTH HMO
New Jersey Other E01236 AMERIHEALTH HMO
New Jersey MEDICAID 1034000720003 AMERIHEALTH HMO
New Jersey Other 620691PZP AMERIHEALTH HMO
New Jersey Other 34701 AMERIHEALTH HMO

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