Lissenden, Carolkay

Lissenden, Carolkay is an individual health care provider with primary practice located at 135 Wild Hedge Lane , Mountainside NJ 07092-2520. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Lissenden, Carolkay can be contacted via phone (908) 232-2935.

Contact Information

Primary practice address
135 Wild Hedge Lane Mountainside NJ 07092-2520
Phone: (908) 232-2935
Fax: (908) 232-3980
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 21738 New Jersey
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 950721 New York

Profile Details

NPI number 1386616696
LBN Legal business name Lissenden, Carolkay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Jul 8th, 2007 - about 19 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 1386616696 NPPES
New Jersey MEDICAID 1231804

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