Daboub-Fernandez, Jenny
Daboub-Fernandez, Jenny is an individual health care provider with primary practice located at 500 N Bridge St , Bridgewater NJ 08807-2135. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Daboub-Fernandez, Jenny can be contacted via phone (908) 725-2800.Contact Information
Primary practice address
500 N Bridge St
Bridgewater NJ 08807-2135
Phone: (908) 725-2800
Fax: (908) 704-1790
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | D00193957557612 | New Jersey |
Profile Details
| NPI number | 1922210822 |
|---|---|
| LBN Legal business name | Daboub-Fernandez, Jenny |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1922210822 | NPPES |
| New Jersey | MEDICAID | 8363102 |
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