1811050826 NPI number — LISETTE SALGUERO LSW

Table of content: LISETTE SALGUERO LSW (NPI 1811050826)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1811050826 NPI number — LISETTE SALGUERO LSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SALGUERO
Provider First Name:
LISETTE
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1811050826
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/09/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
724 5TH AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TOMS RIVER
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08757
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
732-367-4700
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
700 AIRPORT ROAD
Provider Second Line Business Practice Location Address:
PREFERRED BEHAVIORAL HEALTH
Provider Business Practice Location Address City Name:
LAKEWOOD
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08701
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-367-4700
Provider Business Practice Location Address Fax Number:
732-364-2253
Provider Enumeration Date:
12/19/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  44SL05365400 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0029807 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".




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