Rubackin-Hayward, Nicole Dawn

Rubackin-Hayward, Nicole Dawn is an sole proprietor health care provider with primary practice located at 159 Marlboro Rd , Glen Rock NJ 07452-1902. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as her primary health care specialty. Rubackin-Hayward, Nicole Dawn can be contacted via phone (201) 857-4467.

Contact Information

Primary practice address
159 Marlboro Rd Glen Rock NJ 07452-1902
Phone: (201) 857-4467
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 25MD00298400 New Jersey

Profile Details

NPI number 1316176068
LBN Legal business name Rubackin-Hayward, Nicole Dawn
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 2nd, 2009
Last updated Jul 2nd, 2009 - about 15 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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