Fine, Paul Robert

Fine, Paul Robert is an individual health care provider with primary practice located at 60 S Fullerton Ave , Montclair NJ 07042-2663. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Fine, Paul Robert can be contacted via phone (973) 744-6522.

Contact Information

Primary practice address
60 S Fullerton Ave Montclair NJ 07042-2663
Phone: (973) 744-6522
Fax: (973) 744-6362
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SC01458 New Jersey

Profile Details

NPI number 1295774982
LBN Legal business name Fine, Paul Robert
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295774982 NPPES
New Jersey MEDICAID 0006602

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