Kisch Dupont, Agnes M.
Kisch Dupont, Agnes M. is an sole proprietor health care provider with primary practice located at 59 Koch Ave , Morris Plains NJ 07950-4400. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Kisch Dupont, Agnes M. can be contacted via phone (973) 538-1800.Contact Information
Primary practice address
59 Koch Ave
Morris Plains NJ 07950-4400
Phone: (973) 538-1800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 25MA05249700 | New Jersey |
Profile Details
| NPI number | 1326197021 |
|---|---|
| LBN Legal business name | Kisch Dupont, Agnes M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 10th, 2007 |
| Last updated | Feb 26th, 2009 - about 15 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 | 1326197021 | NPPES |
| New Jersey | Other | 717799C2E | MEDICARE BILLING NO. |
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