Petine, Constance

Petine, Constance is an individual health care provider with primary practice located at 1828 W Lake Ave , Neptune NJ 07753-4663. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Petine, Constance can be contacted via phone (732) 869-5754.

Contact Information

Primary practice address
1828 W Lake Ave Neptune NJ 07753-4663
Phone: (732) 869-5754
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 25MP00097600 New Jersey

Profile Details

NPI number 1689121212
LBN Legal business name Petine, Constance
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2016
Last updated Sep 1st, 2016 - about 9 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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