Lutz, Eileen C.
Lutz, Eileen C. is an sole proprietor health care provider with primary practice located at 65 Mountain Blvd Ext , Warren NJ 07059-2632. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Lutz, Eileen C. can be contacted via phone (732) 356-5665.Contact Information
Primary practice address
65 Mountain Blvd Ext
Warren NJ 07059-2632
Phone: (732) 356-5665
Fax: (732) 356-0507
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 44SC00172900 | New Jersey |
Profile Details
| NPI number | 1750584892 |
|---|---|
| LBN Legal business name | Lutz, Eileen C. |
| Credentials | RN,LCSW,LCADC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 7th, 2007 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1750584892 | NPPES |
| New Jersey | Other | NR32823 | REGISTERED NURSE |
| New Jersey | Other | 44SC00172900 | REGISTERED NURSE |
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