Florek, Walter Glenn
Florek, Walter Glenn is an sole proprietor health care provider with primary practice located at 525 Route 70 Suite A-3, Lakewood NJ 08701-5847. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Florek, Walter Glenn can be contacted via phone (732) 364-0040.Contact Information
Primary practice address
525 Route 70 Suite A-3
Lakewood NJ 08701-5847
Phone: (732) 364-0040
Fax: (732) 364-0171
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 35SI00224300 | New Jersey |
Profile Details
| NPI number | 1376731182 |
|---|---|
| LBN Legal business name | Florek, Walter Glenn |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 5th, 2007 |
| Last updated | Sep 15th, 2010 - about 14 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 | 1376731182 | NPPES |
| New Jersey | Other | 0912994 | SOURCE IDENTIFICATION NUM |
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