Gerstein, Kenneth
Gerstein, Kenneth is an sole proprietor health care provider with primary practice located at 1404 Eastland Dr , Bloomington IL 61701-3532. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Gerstein, Kenneth can be contacted via phone (309) 663-4711.Contact Information
Primary practice address
1404 Eastland Dr
Bloomington IL 61701-3532
Phone: (309) 663-4711
Fax: (309) 663-1854
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 019014048 | Illinois |
| Dental Providers / Periodontics | 1223P0300X | 021001002 | Illinois |
Profile Details
| NPI number | 1730243056 |
|---|---|
| LBN Legal business name | Gerstein, Kenneth |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 21st, 2006 |
| Last updated | Sep 23rd, 2009 - about 15 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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