Covington, Edna M
Covington, Edna M is an individual health care provider with primary practice located at 19 E Ormond Ave , Cherry Hill NJ 08034-2053. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Covington, Edna M can be contacted via phone (856) 428-1300.Contact Information
Primary practice address
19 E Ormond Ave
Cherry Hill NJ 08034-2053
Phone: (856) 428-1300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 37LC00020400 | New Jersey |
Profile Details
| NPI number | 1205079415 |
|---|---|
| LBN Legal business name | Covington, Edna M |
| Credentials | LCADC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 17th, 2009 |
| Last updated | Dec 19th, 2011 - about 13 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 | 1205079415 | NPPES |
| New Jersey | Other | T-4378 | 174400000X |
| New Jersey | Other | 37LC00020400 | 174400000X |
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