Zietchick, Daniel E

Zietchick, Daniel E is an sole proprietor health care provider with primary practice located at 2240 Church Road , Toms River NJ 08753-8152. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Zietchick, Daniel E can be contacted via phone (732) 255-1220.

Contact Information

Primary practice address
2240 Church Road Toms River NJ 08753-8152
Phone: (732) 255-1220
Fax: (732) 255-1220
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC00352900 New Jersey

Profile Details

NPI number 1457401325
LBN Legal business name Zietchick, Daniel E
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2007
Last updated Apr 9th, 2010 - about 16 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 1457401325 NPPES
New Jersey Other 053396000 MAGELLAN
New Jersey Other 11235214 MAGELLAN

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