Conneely, John
Conneely, John is an sole proprietor health care provider with primary practice located at Preferred Behavioral Health Of Nj 700 Airport Road, Lakewood NJ 08701. 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. Conneely, John can be contacted via phone (732) 367-4700.Contact Information
Primary practice address
Preferred Behavioral Health Of Nj 700 Airport Road
Lakewood NJ 08701
Phone: (732) 367-4700
Fax: (732) 364-2253
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 37LC00030300 | New Jersey |
Profile Details
| NPI number | 1245378363 |
|---|---|
| LBN Legal business name | Conneely, John |
| Credentials | LCADC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 1st, 2007 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1245378363 | NPPES |
| New Jersey | MEDICAID | 0029807 |
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