Degeorge, Bethany Susan

Degeorge, Bethany Susan is an individual health care provider with primary practice located at 1435 Liberty St , Hamilton NJ 08629-2220. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Degeorge, Bethany Susan can be contacted via phone (609) 599-5433.

Contact Information

Primary practice address
1435 Liberty St Hamilton NJ 08629-2220
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 44SL05740400 New Jersey

Profile Details

NPI number 1730430828
LBN Legal business name Degeorge, Bethany Susan
Credentials LSW
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2012
Last updated Sep 28th, 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 1730430828 NPPES
New Jersey MEDICAID 0169129

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