De La Cruz Chaljub, Kelvin Antonio

De La Cruz Chaljub, Kelvin Antonio is an sole proprietor health care provider with primary practice located at 1850 State Street , New Albany IN 47150. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Technician/Technologist, Technologists, Technicians & Other Technical Service Providers / Surgical Technologist. Technologists, Technicians & Other Technical Service Providers / Surgical Technologist is his primary health care specialty. De La Cruz Chaljub, Kelvin Antonio can be contacted via phone (812) 944-7701.

Contact Information

Primary practice address
1850 State Street New Albany IN 47150
Phone: (812) 944-7701
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Technician/Technologist 156F00000X 16-724
Technologists, Technicians & Other Technical Service Providers / Surgical Technologist 246ZS0410X 16-724 Florida

Profile Details

NPI number 1649908112
LBN Legal business name De La Cruz Chaljub, Kelvin Antonio
Credentials CSFA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 11th, 2022
Last updated Aug 11th, 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.

Request for update

Popular Providers