Laveson, Joel William

Laveson, Joel William is an individual health care provider with primary practice located at 508 S Broadway , Camden NJ 08103-1250. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Laveson, Joel William can be contacted via phone (856) 541-6131.

Contact Information

Primary practice address
508 S Broadway Camden NJ 08103-1250
Phone: (856) 541-6131
Fax: (856) 541-0241
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 27OA002762 New Jersey

Profile Details

NPI number 1689630600
LBN Legal business name Laveson, Joel William
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 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 1689630600 NPPES
New Jersey Other 223312478 CORPORATE OFFICE
New Jersey MEDICAID 2158400 CORPORATE OFFICE
New Jersey Other 010577064 CORPORATE OFFICE

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