Hertan, Evan
Hertan, Evan is an individual health care provider with primary practice located at 431 59Th St , West New York NJ 07093-2107. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is his primary health care specialty. Hertan, Evan can be contacted via phone (201) 223-2700.Contact Information
Primary practice address
431 59Th St
West New York NJ 07093-2107
Phone: (201) 223-2700
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 059074 | New York |
Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 059074 | New York |
Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 22D102865200 | New Jersey |
Profile Details
NPI number | 1457731432 |
---|---|
LBN Legal business name | Hertan, Evan |
Credentials | DDS, MSD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 4th, 2015 |
Last updated | Jun 30th, 2022 - about 2 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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