Mittman, Kimberly

Mittman, Kimberly is an sole proprietor health care provider with primary practice located at 179 Warbler Dr , Wayne NJ 07470-8470. She recently has only one registered license in Agencies / Case Management, which is considered as her primary health care specialty. Mittman, Kimberly can be contacted via phone (410) 292-5552.

Contact Information

Primary practice address
179 Warbler Dr Wayne NJ 07470-8470
Phone: (410) 292-5552
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X 225X00000X

Profile Details

NPI number 1083040166
LBN Legal business name Mittman, Kimberly
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 19th, 2013
Last updated Nov 10th, 2015 - about 11 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 1083040166 NPPES
New York MEDICAID 04161979

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