Scott-Lyew, Miccal A.
Scott-Lyew, Miccal A. is an sole proprietor health care provider with primary practice located at 28 Valley Rd # 148 , Montclair NJ 07042-2709. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Scott-Lyew, Miccal A. can be contacted via phone (973) 559-4600.Contact Information
Primary practice address
28 Valley Rd # 148
Montclair NJ 07042-2709
Phone: (973) 559-4600
Fax: (855) 998-4358
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 26NJO1148500 | New Jersey |
Profile Details
| NPI number | 1720673171 |
|---|---|
| LBN Legal business name | Scott-Lyew, Miccal A. |
| Credentials | AGPC-NP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 8th, 2021 |
| Last updated | Jul 7th, 2023 - 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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