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Contact Information

KAITLYN ETTINGER
946 BLOOMFIELD AVE
GLEN RIDGE, NJ07028-1308
 Phone: 973-743-1121
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical-Surgical

163WM0705X
Indicates primary specialty

NPI Profile & details for KAITLYN ETTINGER · (Female)

NPI # 1427702075
Status Active
Credentials
Entity Individual
Enumeration date 02/11/2022
Last updated 02/11/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 26NR17595100
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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