Chupak, Carol Anne

Chupak, Carol Anne is an individual health care provider with primary practice located at 277 Forest Ave , Paramus NJ 07652-5428. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Chupak, Carol Anne can be contacted via phone (201) 986-1881.

Contact Information

Primary practice address
277 Forest Ave Paramus NJ 07652-5428
Phone: (201) 986-1881
Fax: (201) 986-1871
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 26NJ00055000 New Jersey

Profile Details

NPI number 1952435760
LBN Legal business name Chupak, Carol Anne
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2007
Last updated May 24th, 2010 - about 16 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 1952435760 NPPES
New Jersey Other 26NJ00055000 LICENSE

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