Dave, Kirti

Dave, Kirti is an sole proprietor health care provider with primary practice located at 4414 Bergenline Ave , Union City NJ 07087-5004. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Dave, Kirti can be contacted via phone (201) 271-1600.

Contact Information

Primary practice address
4414 Bergenline Ave Union City NJ 07087-5004
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OA 05381 New Jersey

Profile Details

NPI number 1962565952
LBN Legal business name Dave, Kirti
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962565952 NPPES
New Jersey MEDICAID 6690203

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