Vendiola, Boemboy M
Vendiola, Boemboy M is an sole proprietor health care provider with primary practice located at 401 Hamburg Tpke Ste 102 , Wayne NJ 07470-2139. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Vendiola, Boemboy M can be contacted via phone (201) 794-2121.Contact Information
Primary practice address
401 Hamburg Tpke Ste 102
Wayne NJ 07470-2139
Phone: (201) 794-2121
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 40QA01189500 | New Jersey |
Profile Details
| NPI number | 1689721862 |
|---|---|
| LBN Legal business name | Vendiola, Boemboy M |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 3rd, 2007 |
| Last updated | Jul 8th, 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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