Furtaw, Paul C
Furtaw, Paul C is an sole proprietor health care provider with primary practice located at 100 Century Pkwy Ste 350 , Mount Laurel NJ 08054-1149. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Furtaw, Paul C can be contacted via phone (856) 482-9000.Contact Information
Primary practice address
100 Century Pkwy Ste 350
Mount Laurel NJ 08054-1149
Phone: (856) 482-9000
Fax: (856) 482-1159
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 35SI00608700 | New Jersey |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 37PC00032200 | New Jersey |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PS016071 | Pennsylvania |
Profile Details
| NPI number | 1831443894 |
|---|---|
| LBN Legal business name | Furtaw, Paul C |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 30th, 2012 |
| Last updated | Apr 22nd, 2024 - about 2 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 | 1831443894 | NPPES |
| New Jersey | MEDICAID | 0687090 |
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