Doaltowski, Kenneth Paul
Doaltowski, Kenneth Paul is an sole proprietor health care provider with primary practice located at 2105 W Genesee St Suite 207, Syracuse NY 13219-1656. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Doaltowski, Kenneth Paul can be contacted via phone (315) 468-0031.Contact Information
Primary practice address
2105 W Genesee St Suite 207
Syracuse NY 13219-1656
Phone: (315) 468-0031
Fax: (315) 487-3599
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 032859-1 | New York |
Profile Details
| NPI number | 1598967440 |
|---|---|
| LBN Legal business name | Doaltowski, Kenneth Paul |
| Credentials | DDS, MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 4th, 2007 |
| Last updated | Jul 9th, 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 | 1598967440 | NPPES |
| New York | MEDICAID | 00447374 |
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