Belgrave, Gerald Anthony
Belgrave, Gerald Anthony is an individual health care provider with primary practice located at 714 Bergen Ave , Jersey City NJ 07306-4802. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Belgrave, Gerald Anthony can be contacted via phone (201) 683-2424.Contact Information
Primary practice address
714 Bergen Ave
Jersey City NJ 07306-4802
Phone: (201) 683-2424
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DI15287 | New Jersey |
Profile Details
| NPI number | 1649326893 |
|---|---|
| LBN Legal business name | Belgrave, Gerald Anthony |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 27th, 2007 |
| Last updated | Feb 3rd, 2016 - about 8 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 | 1649326893 | NPPES |
| New Jersey | MEDICAID | 0507806 |
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