Dean, Raekeisha

Dean, Raekeisha is an individual health care provider with primary practice located at 1 Diamond Hill Rd , Berkeley Heights NJ 07922-2104. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Dean, Raekeisha can be contacted via phone (908) 273-4300.

Contact Information

Primary practice address
1 Diamond Hill Rd Berkeley Heights NJ 07922-2104
Phone: (908) 273-4300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 25MP00114200 New Jersey

Profile Details

NPI number 1497934459
LBN Legal business name Dean, Raekeisha
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2007
Last updated Jan 13th, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497934459 NPPES
New Jersey Other 25MP00114200 LICENSE

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