Henriquez, Ruben Dario

Henriquez, Ruben Dario is an individual health care provider with primary practice located at 334 Washington St , Hoboken NJ 07030-4842. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Henriquez, Ruben Dario can be contacted via phone (201) 792-5100.

Contact Information

Primary practice address
334 Washington St Hoboken NJ 07030-4842
Phone: (201) 792-5100
Fax: (201) 792-0030
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 25MG00075800 New Jersey

Profile Details

NPI number 1316938905
LBN Legal business name Henriquez, Ruben Dario
Credentials AUDIOPROSTHOLOGIST
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Jul 9th, 2007 - about 17 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 1316938905 NPPES
New Jersey MEDICAID 6852602

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