Korobova, Ella
Korobova, Ella is an sole proprietor health care provider with primary practice located at 473 Broadway Suite 200, Bayonne NJ 07002-3697. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Korobova, Ella can be contacted via phone (201) 339-7275.Contact Information
Primary practice address
473 Broadway Suite 200
Bayonne NJ 07002-3697
Phone: (201) 339-7275
Fax: (201) 339-0801
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DI02201 | New Jersey |
Profile Details
| NPI number | 1710102975 |
|---|---|
| LBN Legal business name | Korobova, Ella |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 14th, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710102975 | NPPES |
| New Jersey | MEDICAID | 9052909 |
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