Kimble, Alexander Thomas

Kimble, Alexander Thomas is an individual health care provider with primary practice located at 429 N Courtland St , East Stroudsburg PA 18301-1906. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Kimble, Alexander Thomas can be contacted via phone (484) 225-4323.

Contact Information

Primary practice address
429 N Courtland St East Stroudsburg PA 18301-1906
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1851935530
LBN Legal business name Kimble, Alexander Thomas
Credentials LSW
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2019
Last updated Nov 5th, 2019 - about 6 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 1851935530 NPPES
New Jersey Other 44SL06438600 SOCIAL WORK LICENSE NUMBER

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