Jain, Suman
Jain, Suman is an sole proprietor health care provider with primary practice located at 101 Prospect St , Lakewood NJ 08701-5020. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Jain, Suman can be contacted via phone (732) 363-1424.Contact Information
Primary practice address
101 Prospect St
Lakewood NJ 08701-5020
Phone: (732) 363-1424
Fax: (732) 370-0714
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MA58443 | New Jersey |
Profile Details
| NPI number | 1114027109 |
|---|---|
| LBN Legal business name | Jain, Suman |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 22nd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1114027109 | NPPES |
| New Jersey | MEDICAID | 5323 908 |
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