Suydam, Latonia D
Suydam, Latonia D is an individual health care provider with primary practice located at 540 Bordentown Ave Ste 203 , South Amboy NJ 08879-1546. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Suydam, Latonia D can be contacted via phone (732) 963-2626.Contact Information
Primary practice address
540 Bordentown Ave Ste 203
South Amboy NJ 08879-1546
Phone: (732) 963-2626
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | CPRS-50275 | New Jersey |
Profile Details
| NPI number | 1780442111 |
|---|---|
| LBN Legal business name | Suydam, Latonia D |
| Credentials | CPRS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 11th, 2024 |
| Last updated | Mar 11th, 2024 - about 2 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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