Axelbank, Jeffrey H.

Axelbank, Jeffrey H. is an sole proprietor health care provider with primary practice located at 727 Raritan Ave , Highland Park NJ 08904-2952. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Axelbank, Jeffrey H. can be contacted via phone (732) 572-8848.

Contact Information

Primary practice address
727 Raritan Ave Highland Park NJ 08904-2952
Fax: (732) 572-7002
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X SI003252 New Jersey

Profile Details

NPI number 1679670228
LBN Legal business name Axelbank, Jeffrey H.
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 17th, 2006
Last updated Nov 29th, 2011 - 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 1679670228 NPPES
New Jersey MEDICAID 6482902

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