Bostic, Dwight

Bostic, Dwight is an individual health care provider with primary practice located at 86 S Harrison St Ste A , East Orange NJ 07018-1748. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Bostic, Dwight can be contacted via phone (973) 324-7879.

Contact Information

Primary practice address
86 S Harrison St Ste A East Orange NJ 07018-1748
Phone: (973) 324-7879
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X New Jersey

Profile Details

NPI number 1477067437
LBN Legal business name Bostic, Dwight
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2017
Last updated Nov 28th, 2017 - about 7 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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