Werner, John Joseph

Werner, John Joseph is an sole proprietor health care provider with primary practice located at 2000 Deer Park Ave Box 326, Deer Park NY 11729-2701. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Werner, John Joseph can be contacted via phone (631) 667-3667.

Contact Information

Primary practice address
2000 Deer Park Ave Box 326 Deer Park NY 11729-2701
Phone: (631) 667-3667
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 008490 New York

Profile Details

NPI number 1972669323
LBN Legal business name Werner, John Joseph
Credentials PH.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2006
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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Identifiers

StateTypeNumberIssuer
All States NPI 1972669323 NPPES
New York MEDICAID 00926036
New York Other 008490

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