Mravcak, Sally A.
Mravcak, Sally A. is an individual health care provider with primary practice located at 127 Montgomery St , Jersey City NJ 07302-3616. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mravcak, Sally A. can be contacted via phone (201) 431-7200.Contact Information
Primary practice address
127 Montgomery St
Jersey City NJ 07302-3616
Phone: (201) 431-7200
Fax: (833) 488-1215
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 25MA07499300 | New Jersey |
Profile Details
NPI number | 1811009657 |
---|---|
LBN Legal business name | Mravcak, Sally A. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 31st, 2006 |
Last updated | Nov 8th, 2023 - about last year |
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 | 1811009657 | NPPES |
New Jersey | MEDICAID | 0078581 |
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