Krutyansky, Susan
Krutyansky, Susan is an individual health care provider with primary practice located at 450 Main St , Metuchen NJ 08840-1800. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Krutyansky, Susan can be contacted via phone (732) 452-0222.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | DI20201 | New Jersey |
Profile Details
NPI number | 1215002878 |
---|---|
LBN Legal business name | Krutyansky, Susan |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 21st, 2006 |
Last updated | Jul 8th, 2007 - about 18 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 | 1215002878 | NPPES |
New Jersey | MEDICAID | 7671105 |
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