Vaillancourt, Michael Joseph

Vaillancourt, Michael Joseph is an individual health care provider with primary practice located at 385 Prospect Ave , Hackensack NJ 07601-2570. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Vaillancourt, Michael Joseph can be contacted via phone (201) 487-1390.

Contact Information

Primary practice address
385 Prospect Ave Hackensack NJ 07601-2570
Phone: (201) 487-1390
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 00425288 New Jersey

Profile Details

NPI number 1841409380
LBN Legal business name Vaillancourt, Michael Joseph
Credentials MSW, ED.M.
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2007
Last updated Jul 8th, 2007 - about 18 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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