National Provider Identifier Database

01 MEDICAL GROUP LLC
Addiction Medicine

A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine


Contact Information

01 MEDICAL GROUP LLC
16-01 BROADWAY
FAIR LAWN, NJ07410-2026
Phone: 888-443-3869
Fax:
Website:
Specialty Taxonomy Code
* Addiction Medicine 2084A0401X

* Indicates primary specialty

NPI Profile & details for 01 MEDICAL GROUP LLC

NPI Number 1831595776
Legal business name
LBN
01 MEDICAL GROUP LLC
Authorized official JAMES AITKEN - (CHIEF OPERATING OFFICER)
Entity Organization
Organization subpart No
Enumeration date 11/04/2014
Last updated 11/04/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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