Kershis, Frank John

Kershis, Frank John is an sole proprietor health care provider with primary practice located at 1010 Route 112 Suite 200, Port Jefferson Station NY 11776-3097. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Kershis, Frank John can be contacted via phone (631) 476-4880.

Contact Information

Primary practice address
1010 Route 112 Suite 200 Port Jefferson Station NY 11776-3097
Phone: (631) 476-4880
Fax: (631) 476-4887
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 01570 New York

Profile Details

NPI number 1538276415
LBN Legal business name Kershis, Frank John
Credentials PT, COMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2006
Last updated Jul 9th, 2007 - about 19 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 1538276415 NPPES
New York Other 113628992 TAX IDENTIFACTION NUMBER

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