Lacavera, Joseph A
Lacavera, Joseph A is an sole proprietor health care provider with primary practice located at 348 Grant St , Salem NJ 08079-2108. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lacavera, Joseph A can be contacted via phone (856) 935-6120.Contact Information
Primary practice address
348 Grant St
Salem NJ 08079-2108
Phone: (856) 935-6120
Fax: (856) 935-2684
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MB2901500 | New Jersey |
Profile Details
| NPI number | 1689616344 |
|---|---|
| LBN Legal business name | Lacavera, Joseph A |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 10th, 2006 |
| Last updated | Apr 20th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689616344 | NPPES |
| New Jersey | MEDICAID | 1328204 |
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