Traeger, Eveline C
Traeger, Eveline C is an individual health care provider with primary practice located at 150 New Providence Rd , Mountainside NJ 07092-2590. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, which is considered as her primary health care specialty. Traeger, Eveline C can be contacted via phone (908) 301-5491.Contact Information
Primary practice address
150 New Providence Rd
Mountainside NJ 07092-2590
Phone: (908) 301-5491
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | 25MA06061600 | New Jersey |
Profile Details
NPI number | 1326016304 |
---|---|
LBN Legal business name | Traeger, Eveline C |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 8th, 2006 |
Last updated | Nov 14th, 2008 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1326016304 | NPPES |
New Jersey | MEDICAID | 6183603 |
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