Cuellar, Luis Loretto

Cuellar, Luis Loretto is an individual health care provider with primary practice located at 2005 Roosevelt Rd Suite B, Valparaiso IN 46383-2746. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Cuellar, Luis Loretto can be contacted via phone (219) 531-9293.

Contact Information

Primary practice address
2005 Roosevelt Rd Suite B Valparaiso IN 46383-2746
Phone: (219) 531-9293
Fax: (219) 531-0537
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 12010544A Indiana

Profile Details

NPI number 1053470104
LBN Legal business name Cuellar, Luis Loretto
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Jul 8th, 2007 - about 18 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 1053470104 NPPES
Indiana MEDICAID 20044390

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