Macbain, Ophelia

Macbain, Ophelia is an individual health care provider with primary practice located at 40 Engle St , Englewood NJ 07631-2905. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Laboratory Management, which is considered as her primary health care specialty. Macbain, Ophelia can be contacted via phone (201) 569-1332.

Contact Information

Primary practice address
40 Engle St Englewood NJ 07631-2905
Phone: (201) 569-1332
Fax: (201) 567-5955
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Laboratory Management 246QL0900X

Profile Details

NPI number 1306060819
LBN Legal business name Macbain, Ophelia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2007
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1306060819 NPPES
New Jersey MEDICAID 4622201

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