Rosivack, Richard G
Rosivack, Richard G is an sole proprietor health care provider with primary practice located at 381 Chestnut St , Union NJ 07083-9430. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Rosivack, Richard G can be contacted via phone (908) 686-2082.Contact Information
Primary practice address
381 Chestnut St
Union NJ 07083-9430
Phone: (908) 686-2082
Fax: (908) 686-2149
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 13763 | New Jersey |
Profile Details
| NPI number | 1497822597 |
|---|---|
| LBN Legal business name | Rosivack, Richard G |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 30th, 2006 |
| Last updated | May 2nd, 2017 - about 9 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 | 1497822597 | NPPES |
| New Jersey | MEDICAID | 1345001 |
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