Kondrat, Donald E

Kondrat, Donald E is an sole proprietor health care provider with primary practice located at 86 Market St , Clifton NJ 07012-2404. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Kondrat, Donald E can be contacted via phone (973) 777-8117.

Contact Information

Primary practice address
86 Market St Clifton NJ 07012-2404
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 22DI00977201 New Jersey

Profile Details

NPI number 1992879498
LBN Legal business name Kondrat, Donald E
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 17th, 2006
Last updated Jul 9th, 2007 - about 17 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 1992879498 NPPES
New Jersey MEDICAID 2084902

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