Pm Vietze Phd Llc

LBN: Pm Vietze Phd Llc
Pm Vietze Phd Llc is an health care organization with primary practice located at 957 Cedarbrook Road , Plainfield NJ 07060-2646. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as the primary health care specialty. Pm Vietze Phd Llc can be contacted via phone (347) 668-4992, or through Vietze, Peter via phone (347) 668-4992.

Contact Information

Primary practice address
957 Cedarbrook Road Plainfield NJ 07060-2646
Phone: (347) 668-4992
Fax: (908) 757-8322
Website:
Map and Directions
Authorized official contact:
Name: Vietze, Peter PHD
Phone: (347) 668-4992

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X

Profile Details

NPI number 1548879984
LBN Legal business name Pm Vietze Phd Llc
DBA Doing business as
Authorized official Vietze, Peter PHD
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2020
Last updated Jul 30th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548879984 NPPES
New Jersey MEDICAID 0625558

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