Blank, Marc

Blank, Marc is an sole proprietor health care provider with primary practice located at 24 Baltusrol Dr , Manalapan NJ 07726-9325. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Blank, Marc can be contacted via phone (732) 319-0191.

Contact Information

Primary practice address
24 Baltusrol Dr Manalapan NJ 07726-9325
Phone: (732) 319-0191
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 510128931 New York
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1063774909
LBN Legal business name Blank, Marc
Credentials M.S., M.S., ED.M.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2012
Last updated Nov 18th, 2021 - about 4 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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