Jeanlouie, Odler

Jeanlouie, Odler is an sole proprietor health care provider with primary practice located at 60 Northfield Ave The Health Institute, West Orange NJ 07052-5336. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Jeanlouie, Odler can be contacted via phone (973) 731-1919.

Contact Information

Primary practice address
60 Northfield Ave The Health Institute West Orange NJ 07052-5336
Fax: (973) 731-0408
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MA61755 New Jersey

Profile Details

NPI number 1881655686
LBN Legal business name Jeanlouie, Odler
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 31st, 2006
Last updated Jul 17th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1881655686 NPPES
New Jersey MEDICAID 7910304

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