Staab, Albert J
Staab, Albert J is an sole proprietor health care provider with primary practice located at 65 Route 70 E Ste 3 , Marlton NJ 08053-1747. He recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Staab, Albert J can be contacted via phone (856) 596-4416.Contact Information
Primary practice address
65 Route 70 E Ste 3
Marlton NJ 08053-1747
Phone: (856) 596-4416
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 27OA00598300 | New Jersey |
| Eye and Vision Services Providers / Sports Vision | 152WS0006X | 27OA00598300 | New Jersey |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 27OA00598300 | New Jersey |
Profile Details
| NPI number | 1306880257 |
|---|---|
| LBN Legal business name | Staab, Albert J |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Apr 21st, 2021 - about 5 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 | 1306880257 | NPPES |
| New Jersey | Other | P00401966 | RAILROAD MEDICARE PROVIDER TRANSACTION NUMBER PTAN |
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