Mouhtis, Konstantin

Mouhtis, Konstantin is an individual health care provider with primary practice located at 1033 Us Highway 46 Ste 106 , Clifton NJ 07013-2448. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Mouhtis, Konstantin can be contacted via phone (973) 473-0800.

Contact Information

Primary practice address
1033 Us Highway 46 Ste 106 Clifton NJ 07013-2448
Phone: (973) 473-0800
Fax: (973) 473-8058
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X SIO3346 New Jersey

Profile Details

NPI number 1770631061
LBN Legal business name Mouhtis, Konstantin
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 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 1770631061 NPPES
New Jersey Other SIO3346 STATE LICENSE

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