Cerkvenik, Kathleen M.
Cerkvenik, Kathleen M. is an individual health care provider with primary practice located at 541 Cedar Hill Ave , Wyckoff NJ 07481-2150. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Cerkvenik, Kathleen M. can be contacted via phone (201) 652-0300.Contact Information
Primary practice address
541 Cedar Hill Ave
Wyckoff NJ 07481-2150
Phone: (201) 652-0300
Fax: (201) 444-6209
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MA042021 | New Jersey |
Profile Details
| NPI number | 1740249671 |
|---|---|
| LBN Legal business name | Cerkvenik, Kathleen M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 20th, 2006 |
| Last updated | Apr 5th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740249671 | NPPES |
| New Jersey | Other | 222110646 | BUSINESS TAX ID # |
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