Slack, Babiche Michele

Slack, Babiche Michele is an individual health care provider with primary practice located at 183 Route 206 South , Chester NJ 07930. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Slack, Babiche Michele can be contacted via phone (866) 389-2727.

Contact Information

Primary practice address
183 Route 206 South Chester NJ 07930
Fax: (612) 859-7101
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 26NR0893590 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F331541-1 New York

Profile Details

NPI number 1255397014
LBN Legal business name Slack, Babiche Michele
Credentials RN, MS, APN-C
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated Feb 2nd, 2009 - about 17 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 1255397014 NPPES
New Jersey MEDICAID 8159700

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