Perez, Luis M

Perez, Luis M is an sole proprietor health care provider with primary practice located at 230 Baldwin Ave , Charlotte NC 28204-3110. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Urology, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Perez, Luis M can be contacted via phone (704) 376-5636.

Contact Information

Primary practice address
230 Baldwin Ave Charlotte NC 28204-3110
Phone: (704) 376-5636
Fax: (704) 376-5933
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X 38823 North Carolina
Other Service Providers / Specialist 174400000X 38823 North Carolina

Profile Details

NPI number 1972587483
LBN Legal business name Perez, Luis M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 30th, 2005
Last updated Jul 21st, 2022 - about 4 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 1972587483 NPPES
North Carolina MEDICAID 891279M
North Carolina MEDICAID G38823

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