Kallis, John N

Kallis, John N is an sole proprietor health care provider with primary practice located at 617 E Palisade Ave , Englewood Cliffs NJ 07632-1831. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Pathology, which is considered as his primary health care specialty. Kallis, John N can be contacted via phone (201) 567-7500.

Contact Information

Primary practice address
617 E Palisade Ave Englewood Cliffs NJ 07632-1831
Phone: (201) 567-7500
Fax: (201) 567-7505
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X DI15472 New Jersey

Profile Details

NPI number 1821086901
LBN Legal business name Kallis, John N
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2005
Last updated Dec 29th, 2009 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1821086901 NPPES
New Jersey MEDICAID 1666908

Popular Providers