Smith, Elvira K.

Smith, Elvira K. is an sole proprietor health care provider with primary practice located at 333 Irving Ave , Bridgeton NJ 08302-2123. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Smith, Elvira K. can be contacted via phone (856) 455-5555.

Contact Information

Primary practice address
333 Irving Ave Bridgeton NJ 08302-2123
Fax: (856) 455-5405
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 44SW00928200 New Jersey

Profile Details

NPI number 1538303169
LBN Legal business name Smith, Elvira K.
Credentials MA, CSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 27th, 2009
Last updated Apr 27th, 2009 - about 16 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 1538303169 NPPES
New Jersey MEDICAID 1447337134

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