Destefano, James Michael

Destefano, James Michael is an sole proprietor health care provider with primary practice located at 720 King George Rd , Fords NJ 08863-1974. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Destefano, James Michael can be contacted via phone (732) 738-4209.

Contact Information

Primary practice address
720 King George Rd Fords NJ 08863-1974
Phone: (732) 738-4209
Fax: (732) 738-4208
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 44SL05036200 New Jersey

Profile Details

NPI number 1104029099
LBN Legal business name Destefano, James Michael
Credentials M.S.W. ,L.S.W.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2007
Last updated Jul 23rd, 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.

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