MR. MICHAEL JOSEPH VAILLANCOURT MSW ED.M. NPI 1841409380

NPI Information

NPI: 1841409380
Provider Name: MR. MICHAEL JOSEPH VAILLANCOURT, MSW, ED.M.
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual

PECOS Registration: Yes

Address:
385 PROSPECT AVE
HACKENSACK, NJ
ZIP 07601
Phone: (201) 487-1390
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MR. Michael Joseph Vaillancourt, MSW, ED.M. is a student in an organized health care education training program in Hackensack, NJ. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. MR. Michael Joseph Vaillancourt, MSW, ED.M. NPI is 1841409380. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

385 PROSPECT AVE
HACKENSACK, NJ
ZIP 07601-570
Phone: (201) 487-1390

The NPI 1841409380 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 5/22/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program		00425288	NEW JERSEY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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