Dodgen, Lisa Calabrese

Dodgen, Lisa Calabrese is an individual health care provider with primary practice located at 130 Powerville Rd , Boonton NJ 07005-8705. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Dodgen, Lisa Calabrese can be contacted via phone (973) 316-1894.

Contact Information

Primary practice address
130 Powerville Rd Boonton NJ 07005-8705
Phone: (973) 316-1894
Fax: (973) 316-1829
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1700112562
LBN Legal business name Dodgen, Lisa Calabrese
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2009
Last updated Oct 28th, 2009 - 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 1700112562 NPPES
New Jersey MEDICAID 4138601

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