Schmidt, Kenneth Albert

Schmidt, Kenneth Albert is an individual health care provider with primary practice located at 500 W Main St Suite 16, Wyckoff NJ 07481-1439. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Schmidt, Kenneth Albert can be contacted via phone (201) 847-9403.

Contact Information

Primary practice address
500 W Main St Suite 16 Wyckoff NJ 07481-1439
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 25MA04373500 New Jersey

Profile Details

NPI number 1932163219
LBN Legal business name Schmidt, Kenneth Albert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Jul 8th, 2007 - about 18 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 1932163219 NPPES
New Jersey MEDICAID 0848409

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