Lacivita, Burt Michael

Lacivita, Burt Michael is an sole proprietor health care provider with primary practice located at 81 Northfield Ave Suite 104, West Orange NJ 07052-5342. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, which is considered as his primary health care specialty. Lacivita, Burt Michael can be contacted via phone (973) 325-0229.

Contact Information

Primary practice address
81 Northfield Ave Suite 104 West Orange NJ 07052-5342
Phone: (973) 325-0229
Fax: (973) 325-1105
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X 46TR00395600 New Jersey

Profile Details

NPI number 1659549095
LBN Legal business name Lacivita, Burt Michael
Credentials M.S. OTR
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 19th, 2008
Last updated Sep 24th, 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.

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