Plantikow, Roger Wallace

Plantikow, Roger Wallace is an sole proprietor health care provider with primary practice located at 500 Morris Ave Suite 320, Springfield NJ 07081-1027. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Plantikow, Roger Wallace can be contacted via phone (973) 376-6336.

Contact Information

Primary practice address
500 Morris Ave Suite 320 Springfield NJ 07081-1027
Phone: (973) 376-6336
Fax: (973) 376-7304
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Pastoral 101YP1600X 972
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 37FI00038300 New Jersey

Profile Details

NPI number 1972719623
LBN Legal business name Plantikow, Roger Wallace
Credentials D.MIN.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2007
Last updated Sep 2nd, 2014 - about 10 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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