Langford, Jaime Ellen
Langford, Jaime Ellen is an individual health care provider with primary practice located at 20 Vanderhoof Ave , Rockaway NJ 07866-3148. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Langford, Jaime Ellen can be contacted via phone (973) 586-5243.Contact Information
Primary practice address
20 Vanderhoof Ave
Rockaway NJ 07866-3148
Phone: (973) 586-5243
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 44SC05607500 | New Jersey |
Profile Details
| NPI number | 1770893166 |
|---|---|
| LBN Legal business name | Langford, Jaime Ellen |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2010 |
| Last updated | Aug 31st, 2015 - about 9 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 | 1770893166 | NPPES |
| New York | Other | 00745088 | AGENCY MEDICAID MMIS # |
| New York | Other | 1003991019 | AGENCY MEDICAID MMIS # |
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