Feuerstein, Jack Howard

Feuerstein, Jack Howard is an sole proprietor health care provider with primary practice located at 2566 Sheridan Dr , Tonawanda NY 14150-9412. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Feuerstein, Jack Howard can be contacted via phone (716) 871-9511.

Contact Information

Primary practice address
2566 Sheridan Dr Tonawanda NY 14150-9412
Fax: (716) 871-8224
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 042398-1 New York

Profile Details

NPI number 1043374531
LBN Legal business name Feuerstein, Jack Howard
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 20th, 2006
Last updated Aug 22nd, 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 1043374531 NPPES
New York MEDICAID 02745357

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