Bukowski, Joseph Richard
Bukowski, Joseph Richard is an sole proprietor health care provider with primary practice located at 312 Chestnut St , Erie PA 16507-1222. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Bukowski, Joseph Richard can be contacted via phone (814) 454-4530.Contact Information
Primary practice address
312 Chestnut St
Erie PA 16507-1222
Phone: (814) 454-4530
Fax: (814) 456-2375
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DS020505L | Pennsylvania |
Profile Details
| NPI number | 1982748455 |
|---|---|
| LBN Legal business name | Bukowski, Joseph Richard |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 17th, 2007 |
| Last updated | Sep 6th, 2008 - about 16 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 | 1982748455 | NPPES |
| Pennsylvania | MEDICAID | 0008407990010 |
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