Bral, Pourang
Bral, Pourang is an individual health care provider with primary practice located at 901 Bergen Ave 2Nd Floor, Jersey City NJ 07306. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Bral, Pourang can be contacted via phone (201) 222-1123.Contact Information
Primary practice address
901 Bergen Ave 2Nd Floor
Jersey City NJ 07306
Phone: (201) 222-1123
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DI19857 | New Jersey |
Profile Details
| NPI number | 1063634988 |
|---|---|
| LBN Legal business name | Bral, Pourang |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1063634988 | NPPES |
| New Jersey | MEDICAID | 7165803 |
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