Khawaja, Anita
Khawaja, Anita is an sole proprietor health care provider with primary practice located at 687 Frelinghuysen Ave , Newark NJ 07114-1334. She recently has only one registered license in Ambulatory Health Care Facilities / Methadone, which is considered as her primary health care specialty. Khawaja, Anita can be contacted via phone (973) 799-0508.Contact Information
Primary practice address
687 Frelinghuysen Ave
Newark NJ 07114-1334
Phone: (973) 799-0508
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Methadone | 261QM2800X | 2000172 | New Jersey |
Profile Details
| NPI number | 1780013953 |
|---|---|
| LBN Legal business name | Khawaja, Anita |
| Credentials | BS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 7th, 2013 |
| Last updated | Nov 7th, 2013 - 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 | 1780013953 | NPPES |
| New Jersey | MEDICAID | 0062821 | |
| New Jersey | MEDICAID | 7466200 |
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