Mintz, Edward Lester
Mintz, Edward Lester is an sole proprietor health care provider with primary practice located at 81 Grand Ave #1E, Englewood NJ 07631-3530. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Mintz, Edward Lester can be contacted via phone (201) 894-8431.Contact Information
Primary practice address
81 Grand Ave #1E
Englewood NJ 07631-3530
Phone: (201) 894-8431
Fax: (202) 889-6021
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | N004263-1 | New York |
Profile Details
| NPI number | 1669444311 |
|---|---|
| LBN Legal business name | Mintz, Edward Lester |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 6th, 2006 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669444311 | NPPES |
| New York | MEDICAID | 01032291 |
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