Shaheed, Yusuf Nathaniel

Shaheed, Yusuf Nathaniel is an sole proprietor health care provider with primary practice located at 2130 Millburn Ave Ste D1 , Maplewood NJ 07040-3749. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Shaheed, Yusuf Nathaniel can be contacted via phone (973) 763-8123.

Contact Information

Primary practice address
2130 Millburn Ave Ste D1 Maplewood NJ 07040-3749
Phone: (973) 763-8123
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1417567876
LBN Legal business name Shaheed, Yusuf Nathaniel
Credentials LCADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2020
Last updated Jul 31st, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417567876 NPPES
New Jersey Other 37LC00208500 PROFESSIONAL LICENSE

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