Dormont, Mitchell Stephen
Dormont, Mitchell Stephen is an individual health care provider with primary practice located at 1961 Morris Ave Suite 206, Union NJ 07083-5914. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Dormont, Mitchell Stephen can be contacted via phone (908) 686-0560.Contact Information
Primary practice address
1961 Morris Ave Suite 206
Union NJ 07083-5914
Phone: (908) 686-0560
Fax: (908) 686-5040
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 44SC00440600 | New Jersey |
Profile Details
| NPI number | 1083787584 |
|---|---|
| LBN Legal business name | Dormont, Mitchell Stephen |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2006 |
| Last updated | Jul 8th, 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 | 1083787584 | NPPES |
| Other | 16598200 | MERIT HMO |
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