Wiese-Waibel, Maureen

Wiese-Waibel, Maureen is an sole proprietor health care provider with primary practice located at 800 Raritan Rd , Clark NJ 07066-1710. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wiese-Waibel, Maureen can be contacted via phone (732) 381-1600.

Contact Information

Primary practice address
800 Raritan Rd Clark NJ 07066-1710
Phone: (732) 381-1600
Fax: (732) 381-1644
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC04746700 New Jersey

Profile Details

NPI number 1902991391
LBN Legal business name Wiese-Waibel, Maureen
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2006
Last updated Mar 22nd, 2013 - about 11 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 1902991391 NPPES
New Jersey Other 11235188 CAQH PROVIDER NO.
New Jersey Other 141606 CAQH PROVIDER NO.
New Jersey Other 262135919 CAQH PROVIDER NO.
New Jersey Other 296033 CAQH PROVIDER NO.
New Jersey Other P2912168 CAQH PROVIDER NO.

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