Carrillo, Beatrice

Carrillo, Beatrice is an sole proprietor health care provider with primary practice located at 145 S Dean St , Englewood NJ 07631-3513. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Carrillo, Beatrice can be contacted via phone (201) 308-5591.

Contact Information

Primary practice address
145 S Dean St Englewood NJ 07631-3513
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 26NJ00655300 New Jersey

Profile Details

NPI number 1679027114
LBN Legal business name Carrillo, Beatrice
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 13th, 2016
Last updated Aug 13th, 2016 - about 10 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 1679027114 NPPES
New Jersey MEDICAID 1005116

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