Slade, Michael S
Slade, Michael S is an individual health care provider with primary practice located at 4-14 Saddle River Rd , Fair Lawn NJ 07410-5632. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Slade, Michael S can be contacted via phone (201) 791-4002.Contact Information
Primary practice address
4-14 Saddle River Rd
Fair Lawn NJ 07410-5632
Phone: (201) 791-4002
Fax: (201) 791-7040
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | MA32657 | New Jersey |
Profile Details
| NPI number | 1811998610 |
|---|---|
| LBN Legal business name | Slade, Michael S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2005 |
| Last updated | Oct 11th, 2007 - about 18 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 | 1811998610 | NPPES |
| New Jersey | MEDICAID | 1008706 |
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