Gendy, Nivan Phillips
Gendy, Nivan Phillips is an sole proprietor health care provider with primary practice located at 290 State Route 18 , East Brunswick NJ 08816-1995. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Gendy, Nivan Phillips can be contacted via phone (732) 387-1060.Contact Information
Primary practice address
290 State Route 18
East Brunswick NJ 08816-1995
Phone: (732) 387-1060
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 27OA00621300 | New Jersey |
Profile Details
| NPI number | 1598998239 |
|---|---|
| LBN Legal business name | Gendy, Nivan Phillips |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 28th, 2009 |
| Last updated | May 19th, 2016 - about 8 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 | 1598998239 | NPPES |
| New Jersey | Other | 27OA00621300 | NJ STATE BOARD OF OPTOMETRY |
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