Itidiare, Michelle

Itidiare, Michelle is an individual health care provider with primary practice located at 347 Mount Pleasant Ave Suite 103, West Orange NJ 07052-2744. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Itidiare, Michelle can be contacted via phone (908) 420-1361.

Contact Information

Primary practice address
347 Mount Pleasant Ave Suite 103 West Orange NJ 07052-2744
Phone: (908) 420-1361
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 26NJ00625200 New Jersey

Profile Details

NPI number 1194180349
LBN Legal business name Itidiare, Michelle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2015
Last updated Nov 30th, 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.

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