Chan, Joseph A
Chan, Joseph A is an sole proprietor health care provider with primary practice located at 85 Park St , Montclair NJ 07042-2905. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Chan, Joseph A can be contacted via phone (973) 202-1421.Contact Information
Primary practice address
85 Park St
Montclair NJ 07042-2905
Phone: (973) 202-1421
Fax: (973) 707-7616
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 44SC05184400 | New Jersey |
Profile Details
| NPI number | 1962548560 |
|---|---|
| LBN Legal business name | Chan, Joseph A |
| Credentials | MSW, LCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Aug 13th, 2009 - about 16 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 | 1962548560 | NPPES |
| New Jersey | Other | 205791081 | TAX IDENTIFICATION NUMBER |
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