Indzonka, Peter Francis
Indzonka, Peter Francis is an sole proprietor health care provider with primary practice located at 789 Madison Ave , Albany NY 12208-3319. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Indzonka, Peter Francis can be contacted via phone (518) 463-0004.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 040234-1 | New York |
Profile Details
| NPI number | 1730178294 |
|---|---|
| LBN Legal business name | Indzonka, Peter Francis |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 18th, 2005 |
| Last updated | Sep 13th, 2010 - about 16 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 | 1730178294 | NPPES |
| New York | MEDICAID | 01083132 |
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