Cantor, Jay Robert

Cantor, Jay Robert is an individual health care provider with primary practice located at 590 Naamans Rd , Claymont DE 19703-2308. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Cantor, Jay Robert can be contacted via phone (833) 886-2277.

Contact Information

Primary practice address
590 Naamans Rd Claymont DE 19703-2308
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CW013457 Pennsylvania
Behavioral Health & Social Service Providers / Clinical 1041C0700X Q1-0000471 Delaware

Profile Details

NPI number 1821170630
LBN Legal business name Cantor, Jay Robert
Credentials Certified Social Worker (CSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2006
Last updated Nov 10th, 2022 - about 3 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 1821170630 NPPES
Delaware MEDICAID Q1-0000471

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