Mccrae, Gordon L

Mccrae, Gordon L is an sole proprietor health care provider with primary practice located at 714 Broadway Suite #1, Paterson NJ 07514-3402. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Mccrae, Gordon L can be contacted via phone (973) 357-1555.

Contact Information

Primary practice address
714 Broadway Suite #1 Paterson NJ 07514-3402
Fax: (973) 357-2640
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X 6622-5661 New Jersey

Profile Details

NPI number 1770756298
LBN Legal business name Mccrae, Gordon L
Credentials CCMA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2008
Last updated Apr 4th, 2008 - 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 1770756298 NPPES
New Jersey Other 6622-5661 NHA

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