Active NPIIndividual providerSole proprietor

Mr. Juan L Calderon, STL, LMT

Religious Nonmedical Practitioner in West New York, New Jersey

NPI Number1245724145
Practice location
6002 Washington St, West New York, NJ 07093-1420
Fax
—
Last updated
June 14, 2018

Juan Luis Calderon is a Religious Nonmedical Practitioner based in West New York, NJ. Juan Luis Calderon practices in West New York, NJ and has the professional credentials of STL, LMT. The NPI Number for Juan Luis Calderon is 1245724145 and holds a License No. 18KT01274200 (NJ). The current practice location address for Juan Luis Calderon is 6002 Washington St, West New York, NJ 07093-1420 and can be reached out via phone at 201-401-4204.

Provider Profile Details

NPI Number
1245724145
Provider Name
Juan Luis Calderon
Credential
STL, LMT
Provider Entity Type
Individual
Gender
Male
Address
6002 Washington St, West New York, NJ 07093-1420
Phone Number
201-401-4204
Primary Taxonomy
Religious Nonmedical Practitioner · 374K00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 14, 2018
Last Update Date
June 14, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
6002 Washington St
West New York, NJ 07093-1420
Zip
07093-1420
Phone Number
201-401-4204
West New York, NJ 07093Get directions →

Provider Business Mailing Address Details

Address
Po Box 443
West New York, NJ 07093-0443
City
West New York
State
NJ
Zip
07093-0443
Phone Number
201-401-4204

License Information

License Number
18KT01274200
License State
NJ
Taxonomy
Religious Nonmedical Practitioner · 374K00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Juan L Calderon, STL, LMT?

The NPI number of Mr. Juan L Calderon, STL, LMT is 1245724145. It was assigned on June 14, 2018 and is currently active in the NPPES registry.

What is the specialty of Mr. Juan L Calderon, STL, LMT?

Mr. Juan L Calderon, STL, LMT is registered under the primary taxonomy Religious Nonmedical Practitioner (code 374K00000X), licensed in NJ under license number 18KT01274200.

Where does Mr. Juan L Calderon, STL, LMT practice?

The practice location is 6002 Washington St, West New York, NJ 07093-1420. The office can be reached at 201-401-4204 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245724145 directly on the NPPES registry website.

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