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Contact Information

JUAN L CALDERON, STL, LMT
6002 WASHINGTON ST
WEST NEW YORK, NJ07093-1420
 Phone: 201-401-4204
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Religious Nonmedical Practitioner

374K00000X
Indicates primary specialty

NPI Profile & details for JUAN L CALDERON · (Male)

NPI Number 1245724145
Status Active
Credentials STL, LMT
Entity Individual
Enumeration date 06/14/2018
Last updated 06/14/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 18KT01274200
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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