Alder, Gary Ferd
Alder, Gary Ferd is an individual health care provider with primary practice located at 404 Lathrop Ave , River Forest IL 60305-1821. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Alder, Gary Ferd can be contacted via phone (708) 366-8909.Contact Information
Primary practice address
404 Lathrop Ave
River Forest IL 60305-1821
Phone: (708) 366-8909
Fax: (708) 377-4158
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 019-04782 | Illinois |
Profile Details
| NPI number | 1669513826 |
|---|---|
| LBN Legal business name | Alder, Gary Ferd |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 9th, 2007 |
| Last updated | Apr 23rd, 2024 - about 2 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 | 1669513826 | NPPES |
| Illinois | MEDICAID | 1001040 |
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