Golin, Keith
Golin, Keith is an sole proprietor health care provider with primary practice located at 659 Eagle Rock Ave Ste 4, West Orange NJ 07052-2138. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Golin, Keith can be contacted via phone (888) 284-2034.Contact Information
Primary practice address
659 Eagle Rock Ave Ste 4
West Orange NJ 07052-2138
Phone: (888) 284-2034
Fax: (973) 992-4639
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 35SI0040990 | New Jersey |
Profile Details
| NPI number | 1689610875 |
|---|---|
| LBN Legal business name | Golin, Keith |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | May 24th, 2021 - about 4 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 | 1689610875 | NPPES |
| New Jersey | Other | 1487660213 | PRIMARY INSURANCE CO |
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