Poole, John
Poole, John is an individual health care provider with primary practice located at 83 Summit Ave , Hackensack NJ 07601-1262. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Poole, John can be contacted via phone (201) 646-0100.Contact Information
Primary practice address
83 Summit Ave
Hackensack NJ 07601-1262
Phone: (201) 646-0100
Fax: (201) 646-0600
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 25MA04883500 | New Jersey |
Profile Details
| NPI number | 1538173158 |
|---|---|
| LBN Legal business name | Poole, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538173158 | NPPES |
| New Jersey | MEDICAID | 4860306 |
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