Kallis, John N
Kallis, John N is an sole proprietor health care provider with primary practice located at 617 E Palisade Ave , Englewood Cliffs NJ 07632-1831. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Pathology, which is considered as his primary health care specialty. Kallis, John N can be contacted via phone (201) 567-7500.Contact Information
Primary practice address
617 E Palisade Ave
Englewood Cliffs NJ 07632-1831
Phone: (201) 567-7500
Fax: (201) 567-7505
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Pathology | 1223P0106X | DI15472 | New Jersey |
Profile Details
| NPI number | 1821086901 |
|---|---|
| LBN Legal business name | Kallis, John N |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 12th, 2005 |
| Last updated | Dec 29th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821086901 | NPPES |
| New Jersey | MEDICAID | 1666908 |
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