Espaillat, Juan Bautista
Espaillat, Juan Bautista is an sole proprietor health care provider with primary practice located at 286 N Main St Ste 101 , Spring Valley NY 10977-3749. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Espaillat, Juan Bautista can be contacted via phone (845) 426-1619.Contact Information
Primary practice address
286 N Main St Ste 101
Spring Valley NY 10977-3749
Phone: (845) 426-1619
Fax: (845) 371-2694
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 050768 | New York |
Profile Details
NPI number | 1194715425 |
---|---|
LBN Legal business name | Espaillat, Juan Bautista |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 27th, 2005 |
Last updated | Jul 18th, 2013 - about 11 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 | 1194715425 | NPPES |
New York | MEDICAID | 02411952 |
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