Suckerman, Kenneth Robert

Suckerman, Kenneth Robert is an individual health care provider with primary practice located at G9 Brier Hill Ct , East Brunswick NJ 08816-3338. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Suckerman, Kenneth Robert can be contacted via phone (732) 238-9400.

Contact Information

Primary practice address
G9 Brier Hill Ct East Brunswick NJ 08816-3338
Phone: (732) 238-9400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 35SI00138800 New Jersey

Profile Details

NPI number 1821155995
LBN Legal business name Suckerman, Kenneth Robert
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2007
Last updated Jul 15th, 2007 - about 17 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 1821155995 NPPES
Other 08488 57 H GHI
Other 051465 GHI

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