Mickolajczyk, Virginia
Mickolajczyk, Virginia is an sole proprietor health care provider with primary practice located at 4-21 Banta Pl # A , Fair Lawn NJ 07410-3067. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mickolajczyk, Virginia can be contacted via phone (201) 794-9000.Contact Information
Primary practice address
4-21 Banta Pl # A
Fair Lawn NJ 07410-3067
Phone: (201) 794-9000
Fax: (201) 794-9001
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SC005751 | New Jersey |
Profile Details
| NPI number | 1770649790 |
|---|---|
| LBN Legal business name | Mickolajczyk, Virginia |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 28th, 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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