Fuchs, Blaire Erica

Fuchs, Blaire Erica is an sole proprietor health care provider with primary practice located at 76 S Orange Ave Ste 209 , South Orange NJ 07079-1923. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fuchs, Blaire Erica can be contacted via phone (201) 740-7137.

Contact Information

Primary practice address
76 S Orange Ave Ste 209 South Orange NJ 07079-1923
Fax: (973) 378-9575
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 086803-1 New York

Profile Details

NPI number 1194213801
LBN Legal business name Fuchs, Blaire Erica
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 27th, 2018
Last updated Apr 27th, 2018 - about 8 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 1194213801 NPPES
New Jersey MEDICAID 0490512

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