National Provider Identifier Database

EAST COAST MEDICAL AND WELLNESS LLC
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

EAST COAST MEDICAL AND WELLNESS LLC
908 MAIN STREET SUITE A
ASBURY PARK, NJ07712
Phone: 973-718-2835
Fax:
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for EAST COAST MEDICAL AND WELLNESS LLC

NPI Number 1114474731
Legal business name
LBN
EAST COAST MEDICAL AND WELLNESS LLC
Authorized official DAVID SHEPHERD - (DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 09/01/2016
Last updated 09/01/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • NJ License #: 25MA08719200

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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