Andryc, Kenneth D
Andryc, Kenneth D is an sole proprietor health care provider with primary practice located at 7686 W Ridge Rd Box 65, Fairview PA 16415-1074. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Andryc, Kenneth D can be contacted via phone (814) 474-1527.Contact Information
Primary practice address
7686 W Ridge Rd Box 65
Fairview PA 16415-1074
Phone: (814) 474-1527
Fax: (814) 474-5022
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DS018928L | Pennsylvania |
Profile Details
| NPI number | 1598754921 |
|---|---|
| LBN Legal business name | Andryc, Kenneth D |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 18th, 2005 |
| Last updated | Dec 27th, 2011 - about 15 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 | 1598754921 | NPPES |
| Pennsylvania | MEDICAID | 0005084900001 |
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