San Luis, Jacinta P

San Luis, Jacinta P is an individual health care provider with primary practice located at 500 N Bridge St , Bridgewater NJ 08807-2135. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. San Luis, Jacinta P can be contacted via phone (908) 725-2800.

Contact Information

Primary practice address
500 N Bridge St Bridgewater NJ 08807-2135
Phone: (908) 725-2800
Fax: (908) 704-1790
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 26NR06599500 New Jersey

Profile Details

NPI number 1225234883
LBN Legal business name San Luis, Jacinta P
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2007
Last updated Jul 9th, 2007 - about 17 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 1225234883 NPPES
New Jersey MEDICAID 0023701

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