Juarez, Robert

Juarez, Robert is an individual health care provider with primary practice located at 92 Vine St , New Britain CT 06052-1433. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Juarez, Robert can be contacted via phone (860) 223-9291.

Contact Information

Primary practice address
92 Vine St New Britain CT 06052-1433
Phone: (860) 223-9291
Fax: (860) 223-3111
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1770620452
LBN Legal business name Juarez, Robert
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2007
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 1770620452 NPPES
Connecticut Other CTGA000438 B000602 SAGA
Connecticut Other CTGA000438 B810006 SAGA

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