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
Fax: (309) 663-1854
Website:

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Popular Providers