Summerville, Allen F

Summerville, Allen F is an individual health care provider with primary practice located at 1 Colby Ave , Stratford NJ 08084-1000. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Summerville, Allen F can be contacted via phone (856) 541-1700.

Contact Information

Primary practice address
1 Colby Ave Stratford NJ 08084-1000
Fax: (856) 346-3627
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X New Jersey

Profile Details

NPI number 1386856516
LBN Legal business name Summerville, Allen F
Credentials LSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386856516 NPPES
New Jersey Other 44SL05365800 LSW

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