Dhall, Edwin

Dhall, Edwin is an sole proprietor health care provider with primary practice located at 712 Broadway , Brentwood NY 11717-6922. She recently has only one registered license in Suppliers / Customized Equipment, which is considered as her primary health care specialty. Dhall, Edwin can be contacted via phone (631) 456-8854.

Contact Information

Primary practice address
712 Broadway Brentwood NY 11717-6922
Fax: (631) 561-4245
Website:

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X C13-26498 New York

Profile Details

NPI number 1760802490
LBN Legal business name Dhall, Edwin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 21st, 2014
Last updated Apr 21st, 2014 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760802490 NPPES
New York Other 352479821 HMO

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