Dejesus, Edwin Raul
Dejesus, Edwin Raul is an sole proprietor health care provider with primary practice located at 101 Centerpoint Dr Ste 243 , Middletown CT 06457-7568. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Dejesus, Edwin Raul can be contacted via phone (855) 295-3276.Contact Information
Primary practice address
101 Centerpoint Dr Ste 243
Middletown CT 06457-7568
Phone: (855) 295-3276
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1952932279 |
|---|---|
| LBN Legal business name | Dejesus, Edwin Raul |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 27th, 2020 |
| Last updated | Jan 27th, 2020 - about 6 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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