Cruz, Ephraim

Cruz, Ephraim is an sole proprietor health care provider with primary practice located at 8027 Camellia Rd , Norfolk VA 23518-3416. He recently has 5 registered licenses in different health care specialties including Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities, Transportation Services / Non-emergency Medical Transport (VAN), Transportation Services / Private Vehicle, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is his primary health care specialty. Cruz, Ephraim can be contacted via phone (757) 227-1105.

Contact Information

Primary practice address
8027 Camellia Rd Norfolk VA 23518-3416
Phone: (757) 227-1105
Fax: (757) 214-6634
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X
Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities 320700000X
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X
Transportation Services / Private Vehicle 347C00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X 29911 Virginia

Profile Details

NPI number 1811508252
LBN Legal business name Cruz, Ephraim
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 10th, 2020
Last updated Aug 10th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811508252 NPPES
Virginia MEDICAID 81-3347603

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