Bethavas, Nicole
Bethavas, Nicole is an individual health care provider with primary practice located at 68 Saint Germain Dr , Clark NJ 07066-2628. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bethavas, Nicole can be contacted via phone (848) 467-0248.Contact Information
Primary practice address
68 Saint Germain Dr
Clark NJ 07066-2628
Phone: (848) 467-0248
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 44SL06251800 | New Jersey |
Profile Details
| NPI number | 1295275212 |
|---|---|
| LBN Legal business name | Bethavas, Nicole |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 24th, 2017 |
| Last updated | Feb 20th, 2024 - about 9 months 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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