Blauvelt, Jonathan Kirkland
Blauvelt, Jonathan Kirkland is an sole proprietor health care provider with primary practice located at 2139 Hwy 35 Ste 120 , Holmdel NJ 07733-1094. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Blauvelt, Jonathan Kirkland can be contacted via phone (855) 698-3554.Contact Information
Primary practice address
2139 Hwy 35 Ste 120
Holmdel NJ 07733-1094
Phone: (855) 698-3554
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 37LC00306900 | New Jersey |
Profile Details
| NPI number | 1679998918 |
|---|---|
| LBN Legal business name | Blauvelt, Jonathan Kirkland |
| Credentials | MA, LCADC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 24th, 2014 |
| Last updated | Jun 21st, 2022 - about 4 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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