Staggers, Tony L

Staggers, Tony L is an individual health care provider with primary practice located at 155 Bayview Ave , Jersey City NJ 07305-3306. He recently has only one registered license in Behavioral Health & Social Service Providers / Pastoral, which is considered as his primary health care specialty. Staggers, Tony L can be contacted via phone (201) 681-0783.

Contact Information

Primary practice address
155 Bayview Ave Jersey City NJ 07305-3306
Phone: (201) 681-0783
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Pastoral 101YP1600X
Behavioral Health & Social Service Providers / Pastoral 101YP1600X New Jersey

Profile Details

NPI number 1710596374
LBN Legal business name Staggers, Tony L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2020
Last updated Sep 12th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710596374 NPPES
New Jersey MEDICAID 0
New Jersey MEDICAID 00

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