Boltuch-Fagan, Candace Ann
Boltuch-Fagan, Candace Ann is an sole proprietor health care provider with primary practice located at 2357 Lemoine Ave , Fort Lee NJ 07024. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Boltuch-Fagan, Candace Ann can be contacted via phone (201) 585-9814.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0551 | New Jersey |
Profile Details
| NPI number | 1760577266 |
|---|---|
| LBN Legal business name | Boltuch-Fagan, Candace Ann |
| Credentials | LPC;LCADC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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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