Erlebacher, Jay A
Erlebacher, Jay A is an individual health care provider with primary practice located at 177 N Dean St Suite 100, Englewood NJ 07631-2533. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Erlebacher, Jay A can be contacted via phone (201) 816-2508.Contact Information
Primary practice address
177 N Dean St Suite 100
Englewood NJ 07631-2533
Phone: (201) 816-2508
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MA45949 | New Jersey |
Profile Details
| NPI number | 1285737080 |
|---|---|
| LBN Legal business name | Erlebacher, Jay A |
| Credentials | MD, FACC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2006 |
| Last updated | Aug 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285737080 | NPPES |
| New Jersey | MEDICAID | 0740209 |
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