Heller, Mitchell Jerold
Heller, Mitchell Jerold is an sole proprietor health care provider with primary practice located at 1 Bay Ave , Montclair NJ 07042-4837. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Heller, Mitchell Jerold can be contacted via phone (973) 429-6000.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 197042 | New York |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 25MA06586300 | New Jersey |
Profile Details
| NPI number | 1275504052 |
|---|---|
| LBN Legal business name | Heller, Mitchell Jerold |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2006 |
| Last updated | Apr 25th, 2024 - about 5 months 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 | 1275504052 | NPPES |
| New York | MEDICAID | 1872733 | |
| New York | MEDICAID | 7375808 |
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