Montalvo, Jose

Montalvo, Jose is an individual health care provider with primary practice located at 419 Whalley Ave , New Haven CT 06511-3019. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Montalvo, Jose can be contacted via phone (203) 285-6475.

Contact Information

Primary practice address
419 Whalley Ave New Haven CT 06511-3019
Phone: (203) 285-6475
Fax: (203) 748-2604
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 000667 Connecticut

Profile Details

NPI number 1902236854
LBN Legal business name Montalvo, Jose
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2013
Last updated Nov 13th, 2013 - about 13 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 1902236854 NPPES
Connecticut Other 1174607253 MIDWESTERN CONNECTICUT COUNCIL ON ALCOHOLISM
Connecticut MEDICAID 008044401 MIDWESTERN CONNECTICUT COUNCIL ON ALCOHOLISM

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