Kenul, Robert A

Kenul, Robert A is an sole proprietor health care provider with primary practice located at 987 N Ocean Ave , Medford NY 11763-3532. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Kenul, Robert A can be contacted via phone (631) 758-6262.

Contact Information

Primary practice address
987 N Ocean Ave Medford NY 11763-3532
Fax: (631) 758-1660
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X X004534-1 New York

Profile Details

NPI number 1649398389
LBN Legal business name Kenul, Robert A
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 27th, 2007
Last updated Sep 10th, 2010 - about 14 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 1649398389 NPPES
New York Other 11-2967495 FEDERAL TAX I.D. NUMBER

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