Marisiddaiah, Satish
Marisiddaiah, Satish is an sole proprietor health care provider with primary practice located at 653 Long Ln , Upper Darby PA 19082-5230. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Marisiddaiah, Satish can be contacted via phone (610) 623-5295.Contact Information
Primary practice address
653 Long Ln
Upper Darby PA 19082-5230
Phone: (610) 623-5295
Fax: (610) 623-2979
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DS027000-L | Pennsylvania |
Profile Details
| NPI number | 1205976370 |
|---|---|
| LBN Legal business name | Marisiddaiah, Satish |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 7th, 2007 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205976370 | NPPES |
| Pennsylvania | MEDICAID | 119271904 | |
| Pennsylvania | Other | 583471 |
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