Pena, Jorge
Pena, Jorge is an sole proprietor health care provider with primary practice located at 4403 1St Ave Se Ste 104 , Cedar Rapids IA 52402-3221. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Pena, Jorge can be contacted via phone (319) 423-0919.Contact Information
Primary practice address
4403 1St Ave Se Ste 104
Cedar Rapids IA 52402-3221
Phone: (319) 423-0919
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 1370 | Iowa |
Profile Details
| NPI number | 1104246818 |
|---|---|
| LBN Legal business name | Pena, Jorge |
| Credentials | CADC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 21st, 2014 |
| Last updated | Apr 21st, 2014 - about 11 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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