Hamilton, Henry Duane
Hamilton, Henry Duane is an individual health care provider with primary practice located at 60 Evergreen Pl Ste 200&904 , East Orange NJ 07018. He recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Addiction Medicine, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Hamilton, Henry Duane can be contacted via phone (973) 678-6015.Contact Information
Primary practice address
60 Evergreen Pl Ste 200&904
East Orange NJ 07018
Phone: (973) 678-6015
Fax: (973) 678-3968
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 37LC00118000 | New Jersey |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 37AC00086900 | New Jersey |
| Behavioral Health & Social Service Providers / Pastoral | 101YP1600X | 37CL00118000 | New Jersey |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 44SC05363800 | New Jersey |
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207RA0401X | 37LC00118000 | New Jersey |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | NO106752 | New Jersey |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 37LC00118000 | New Jersey |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 37LC00118000 | New Jersey |
Profile Details
| NPI number | 1366685554 |
|---|---|
| LBN Legal business name | Hamilton, Henry Duane |
| Credentials | LCADC, ICADC, CAMF |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 17th, 2009 |
| Last updated | Sep 6th, 2018 - about 6 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 | 1366685554 | NPPES |
| New Jersey | MEDICAID | 0491187 | |
| New Jersey | MEDICAID | 0490717 | |
| New Jersey | Other | 11890384 | |
| New Jersey | Other | 8576195 |
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