Werner, John Joseph
Werner, John Joseph is an sole proprietor health care provider with primary practice located at 2000 Deer Park Ave Box 326, Deer Park NY 11729-2701. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Werner, John Joseph can be contacted via phone (631) 667-3667.Contact Information
Primary practice address
2000 Deer Park Ave Box 326
Deer Park NY 11729-2701
Phone: (631) 667-3667
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 008490 | New York |
Profile Details
| NPI number | 1972669323 |
|---|---|
| LBN Legal business name | Werner, John Joseph |
| Credentials | PH.D |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 29th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972669323 | NPPES |
| New York | MEDICAID | 00926036 | |
| New York | Other | 008490 |
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