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:
Health care specialties
| Specialty | Code | License # | 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 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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