James, Kenneth

James, Kenneth is an individual health care provider with primary practice located at 101 Ludlow St , Newark NJ 07114-1108. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. James, Kenneth can be contacted via phone (973) 565-0355.

Contact Information

Primary practice address
101 Ludlow St Newark NJ 07114-1108
Fax: (973) 565-0461
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 22D102154500 New Jersey

Profile Details

NPI number 1063524551
LBN Legal business name James, Kenneth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Mar 7th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063524551 NPPES
New Jersey Other 1194996645 444 WILLIAM STREET
New Jersey Other 1740345693 444 WILLIAM STREET
New Jersey Other 1972778413 444 WILLIAM STREET
New Jersey MEDICAID 8727309 444 WILLIAM STREET

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