Agnish, Pooja Anju
Agnish, Pooja Anju is an individual health care provider with primary practice located at 113 W Independence St , Shamokin PA 17872-5315. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Agnish, Pooja Anju can be contacted via phone (570) 644-3900.Contact Information
Primary practice address
113 W Independence St
Shamokin PA 17872-5315
Phone: (570) 644-3900
Fax: (570) 644-3901
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DS028254L | Pennsylvania |
Profile Details
| NPI number | 1891894796 |
|---|---|
| LBN Legal business name | Agnish, Pooja Anju |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Nov 12th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891894796 | NPPES |
| Other | 680508925 | EMPLOYER TAX ID# |
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