Chicvak, John E.
Chicvak, John E. is an sole proprietor health care provider with primary practice located at 1044 Northern Blvd. Suite 306, Roslyn NY 11576. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Chicvak, John E. can be contacted via phone (516) 466-1177.Contact Information
Primary practice address
1044 Northern Blvd. Suite 306
Roslyn NY 11576
Phone: (516) 466-1177
Fax: (516) 466-0763
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 042819 | New York |
Profile Details
| NPI number | 1043227838 |
|---|---|
| LBN Legal business name | Chicvak, John E. |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 2nd, 2006 |
| Last updated | Nov 19th, 2014 - about 10 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 | 1043227838 | NPPES |
| New York | MEDICAID | 01244655 |
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