Ortiz, Carlos A

Ortiz, Carlos A is an individual health care provider with primary practice located at 30 Prospect Ave Emergency Medicine, Hackensack NJ 07601-1914. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Ortiz, Carlos A can be contacted via phone (201) 996-4614.

Contact Information

Primary practice address
30 Prospect Ave Emergency Medicine Hackensack NJ 07601-1914
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 25MA08263500 New Jersey

Profile Details

NPI number 1306041116
LBN Legal business name Ortiz, Carlos A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2007
Last updated Oct 19th, 2021 - about 3 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 1306041116 NPPES
Montana MEDICAID 1306041116

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