Jan, Louis C.

Jan, Louis C. is an individual health care provider with primary practice located at 300 Grand Ave Ste 101 , Englewood NJ 07631-6300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Jan, Louis C. can be contacted via phone (201) 567-5787.

Contact Information

Primary practice address
300 Grand Ave Ste 101 Englewood NJ 07631-6300
Phone: (201) 567-5787
Fax: (201) 567-7652
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MA067677 New Jersey

Profile Details

NPI number 1831152966
LBN Legal business name Jan, Louis C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Nov 11th, 2020 - about 6 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 1831152966 NPPES
New Jersey MEDICAID 0003450

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