Discepola, Kirsten

Discepola, Kirsten is an individual health care provider with primary practice located at 1500 Pleasant Valley Way Suite 204, West Orange NJ 07052-2956. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Discepola, Kirsten can be contacted via phone (973) 731-1266.

Contact Information

Primary practice address
1500 Pleasant Valley Way Suite 204 West Orange NJ 07052-2956
Phone: (973) 731-1266
Fax: (973) 731-1712
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 65 P80778 New York
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 25MD00322300 New Jersey

Profile Details

NPI number 1780971317
LBN Legal business name Discepola, Kirsten
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2011
Last updated Apr 4th, 2017 - about 7 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 1780971317 NPPES
New Jersey MEDICAID 0451363

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