Jacques, Walter J
Jacques, Walter J is an individual health care provider with primary practice located at 3 Hamilton Health Pl Suite A, Hamilton NJ 08690-3542. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Jacques, Walter J can be contacted via phone (609) 581-4480.Contact Information
Primary practice address
3 Hamilton Health Pl Suite A
Hamilton NJ 08690-3542
Phone: (609) 581-4480
Fax: (609) 581-5222
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 25MA5576300 | New Jersey |
Profile Details
| NPI number | 1619932860 |
|---|---|
| LBN Legal business name | Jacques, Walter J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2006 |
| Last updated | Jun 21st, 2012 - about 12 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 | 1619932860 | NPPES |
| New Jersey | MEDICAID | 5393400 |
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