Kodjak, Nicholas

Kodjak, Nicholas is an individual health care provider with primary practice located at 70 Park St , Montclair NJ 07042-5907. He recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as his primary health care specialty. Kodjak, Nicholas can be contacted via phone (973) 746-7766.

Contact Information

Primary practice address
70 Park St Montclair NJ 07042-5907
Phone: (973) 746-7766
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X 25MZ00061100 New Jersey

Profile Details

NPI number 1679733133
LBN Legal business name Kodjak, Nicholas
Credentials CA, MA
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2008
Last updated Jun 9th, 2008 - about 17 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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