Ganesh, Mary Lee
Ganesh, Mary Lee is an sole proprietor health care provider with primary practice located at 218A Sunset Rd Screening And Crisis Intervention Program, Willingboro NJ 08046-1110. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Ganesh, Mary Lee can be contacted via phone (609) 835-6180.Contact Information
Primary practice address
218A Sunset Rd Screening And Crisis Intervention Program
Willingboro NJ 08046-1110
Phone: (609) 835-6180
Fax: (609) 835-7962
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1790928182 |
|---|---|
| LBN Legal business name | Ganesh, Mary Lee |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 14th, 2009 |
| Last updated | Apr 27th, 2009 - about 16 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 | 1790928182 | NPPES |
| New Jersey | Other | 172V00000X | 172V00000X |
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