Golin, Keith

Golin, Keith is an sole proprietor health care provider with primary practice located at 659 Eagle Rock Ave Ste 4, West Orange NJ 07052-2138. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Golin, Keith can be contacted via phone (888) 284-2034.

Contact Information

Primary practice address
659 Eagle Rock Ave Ste 4 West Orange NJ 07052-2138
Phone: (888) 284-2034
Fax: (973) 992-4639
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 35SI0040990 New Jersey

Profile Details

NPI number 1689610875
LBN Legal business name Golin, Keith
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2006
Last updated May 24th, 2021 - about 5 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 1689610875 NPPES
New Jersey Other 1487660213 PRIMARY INSURANCE CO

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