Carter, Gretchen Haynes
Carter, Gretchen Haynes is an sole proprietor health care provider with primary practice located at 1200 Roselle St , Linden NJ 07036-2529. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as her primary health care specialty. Carter, Gretchen Haynes can be contacted via phone (973) 485-6799.Contact Information
Primary practice address
1200 Roselle St
Linden NJ 07036-2529
Phone: (973) 485-6799
Fax: (973) 485-6711
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | 25MD0024110 | New Jersey |
Profile Details
| NPI number | 1194876789 |
|---|---|
| LBN Legal business name | Carter, Gretchen Haynes |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 12th, 2007 |
| Last updated | Feb 25th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194876789 | NPPES |
| New Jersey | Other | 223620546 | BLUE CROSS/BLUE SHIELD |
| New Jersey | MEDICAID | 777006 | BLUE CROSS/BLUE SHIELD |
| New Jersey | Other | 145525 | BLUE CROSS/BLUE SHIELD |
| New Jersey | Other | 480025921 | BLUE CROSS/BLUE SHIELD |
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