Ferguson-Mizell, Christine E
Ferguson-Mizell, Christine E is an sole proprietor health care provider with primary practice located at 58 Broad St , Manasquan NJ 08736-2907. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ferguson-Mizell, Christine E can be contacted via phone (732) 528-9904.Contact Information
Primary practice address
58 Broad St
Manasquan NJ 08736-2907
Phone: (732) 528-9904
Fax: (732) 833-1481
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SC47205 | New Jersey |
Profile Details
| NPI number | 1568513356 |
|---|---|
| LBN Legal business name | Ferguson-Mizell, Christine E |
| Credentials | NJ LCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 16th, 2007 |
| Last updated | Sep 21st, 2012 - about 13 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 | 1568513356 | NPPES |
| New Jersey | Other | 135449 | VALUE OPTIONS PROVIDER ID |
| New Jersey | Other | 203371000 | VALUE OPTIONS PROVIDER ID |
| New Jersey | Other | 244653 | VALUE OPTIONS PROVIDER ID |
| New Jersey | Other | N12Z9 | VALUE OPTIONS PROVIDER ID |
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