Pavlik, Kendra Ruth
Pavlik, Kendra Ruth is an sole proprietor health care provider with primary practice located at 2670 33Rd Ave , Columbus NE 68601-1315. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Pavlik, Kendra Ruth can be contacted via phone (402) 564-7575.Contact Information
Primary practice address
2670 33Rd Ave
Columbus NE 68601-1315
Phone: (402) 564-7575
Fax: (402) 564-1818
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 6533 | Nebraska |
Profile Details
| NPI number | 1518026335 |
|---|---|
| LBN Legal business name | Pavlik, Kendra Ruth |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 7th, 2006 |
| 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 | 1518026335 | NPPES |
| Nebraska | MEDICAID | 10025277900 |
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