Pagan, Gilberto
Pagan, Gilberto is an sole proprietor health care provider with primary practice located at 467 Mount Prospect Ave , Newark NJ 07104-2907. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Pagan, Gilberto can be contacted via phone (973) 483-0448.Contact Information
Primary practice address
467 Mount Prospect Ave
Newark NJ 07104-2907
Phone: (973) 483-0448
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | SIO 2338 | New Jersey |
Profile Details
| NPI number | 1114021607 |
|---|---|
| LBN Legal business name | Pagan, Gilberto |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 12th, 2006 |
| Last updated | Jul 17th, 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 | 1114021607 | NPPES |
| New Jersey | MEDICAID | 4014405 |
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