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
Phone: (973) 357-1555
Fax: (973) 357-2640
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1770756298 | NPPES |
New Jersey | Other | 6622-5661 | NHA |
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