Smith, George
Smith, George is an individual health care provider with primary practice located at 25 Vreeland Rd # A , Florham Park NJ 07932-1902. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Smith, George can be contacted via phone (973) 966-9200.Contact Information
Primary practice address
25 Vreeland Rd # A
Florham Park NJ 07932-1902
Phone: (973) 966-9200
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 37PC00672400 | New Jersey |
Profile Details
NPI number | 1659909836 |
---|---|
LBN Legal business name | Smith, George |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 1st, 2020 |
Last updated | Nov 27th, 2023 - about last year |
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 | 1659909836 | NPPES |
New Jersey | MEDICAID | 310015 |
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