SIDWA ENTERPRISE II LLC NPI 1902252315

NPI Information

NPI: 1902252315
Provider Name: SIDWA ENTERPRISE II, LLC
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Organization

Specialization: Adult Health

Address:
1043 MONTAUK DR
FORKED RIVER, NJ
ZIP 08731
Phone: (609) 339-5667
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SIDWA ENTERPRISE II, LLC is an adult health nurse practitioner in Forked River, NJ. SIDWA ENTERPRISE II, LLC NPI is 1902252315. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1043 MONTAUK DR
FORKED RIVER, NJ
ZIP 08731-004
Phone: (609) 339-5667
Fax: (888) 836-3950

The provider's authorized official is Vickie S Sidwa .
The authorized official title is PRESIDENT OWNEROwner and has the following contact phone number (609) 339-5667.

The enumeration date for this NPI number is 5/4/2016 and was last updated on 5/10/2016.

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	363LA2200X	Nurse Practitioner	Adult Health	26NN10119300	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: 4/28/2024

NPI Synchronization or Removal

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