Swaby, Kempolly Datisha

Swaby, Kempolly Datisha is an sole proprietor health care provider with primary practice located at 531 Lincoln Ave , Orange NJ 07050-2122. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Swaby, Kempolly Datisha can be contacted via phone (973) 941-6617.

Contact Information

Primary practice address
531 Lincoln Ave Orange NJ 07050-2122
Phone: (973) 941-6617
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 26NJ01183500 New Jersey

Profile Details

NPI number 1750056495
LBN Legal business name Swaby, Kempolly Datisha
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 13th, 2021
Last updated Aug 17th, 2021 - about 3 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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