Patrick, James E.

Patrick, James E. is an individual health care provider with primary practice located at 30 Prospect Ave , Hackensack NJ 07601-1915. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Patrick, James E. can be contacted via phone (551) 996-5430.

Contact Information

Primary practice address
30 Prospect Ave Hackensack NJ 07601-1915
Phone: (551) 996-5430
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9101332 Florida
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 25MP00691400 New Jersey

Profile Details

NPI number 1689663528
LBN Legal business name Patrick, James E.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Jun 7th, 2022 - about 3 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 1689663528 NPPES
Florida MEDICAID 291312700

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