Pedraza, Omar

Pedraza, Omar is an individual health care provider with primary practice located at 86 S Harrison St , East Orange NJ 07018-1748. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Pedraza, Omar can be contacted via phone (973) 324-7891.

Contact Information

Primary practice address
86 S Harrison St East Orange NJ 07018-1748
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1316310543
LBN Legal business name Pedraza, Omar
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2015
Last updated Nov 10th, 2015 - about 9 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.

Request for update

Popular Providers