Ross, William Jacob
Ross, William Jacob is an individual health care provider with primary practice located at 161 Ridgedale Ave , Florham Park NJ 07932-1708. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Ross, William Jacob can be contacted via phone (973) 377-3644.Contact Information
Primary practice address
161 Ridgedale Ave
Florham Park NJ 07932-1708
Phone: (973) 377-3644
Fax: (973) 377-1413
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 2528 | New Jersey |
Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 2528 | New Jersey |
Profile Details
NPI number | 1932136819 |
---|---|
LBN Legal business name | Ross, William Jacob |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 27th, 2006 |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1932136819 | NPPES |
New Jersey | MEDICAID | 1271008 | |
New Jersey | Other | 0112767000 | |
New Jersey | Other | 187927 | |
New Jersey | Other | 516518 | |
New Jersey | Other | P830239 |
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