Havlicek, Mark Gerard

Havlicek, Mark Gerard is an individual health care provider with primary practice located at 43 Yawpo Ave , Oakland NJ 07436-2714. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Havlicek, Mark Gerard can be contacted via phone (201) 337-0066.

Contact Information

Primary practice address
43 Yawpo Ave Oakland NJ 07436-2714
Phone: (201) 337-0066
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 26NJ01014700 New Jersey

Profile Details

NPI number 1033708052
LBN Legal business name Havlicek, Mark Gerard
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2021
Last updated Jan 14th, 2021 - about 3 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.

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