Petty, Ronald

Petty, Ronald is an individual health care provider with primary practice located at 655 E Jersey St Behavioral Health, Elizabeth NJ 07206-1259. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Petty, Ronald can be contacted via phone (908) 994-5000.

Contact Information

Primary practice address
655 E Jersey St Behavioral Health Elizabeth NJ 07206-1259
Phone: (908) 994-5000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 37LC00068100 New Jersey

Profile Details

NPI number 1215121306
LBN Legal business name Petty, Ronald
Credentials LSW
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2007
Last updated Aug 31st, 2007 - about 18 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 1215121306 NPPES
New Jersey Other 37LC00068100 NJ STATE LICENSE

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