Lein, Vitaly
Lein, Vitaly is an individual health care provider with primary practice located at 982 E Main St , Bridgeport CT 06608-1913. He recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as his primary health care specialty. Lein, Vitaly can be contacted via phone (203) 696-3260.Contact Information
Primary practice address
982 E Main St
Bridgeport CT 06608-1913
Phone: (203) 696-3260
Fax: (203) 332-0376
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 005722 | Connecticut |
Profile Details
| NPI number | 1952384885 |
|---|---|
| LBN Legal business name | Lein, Vitaly |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 23rd, 2005 |
| 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 | 1952384885 | NPPES |
| Connecticut | Other | 005722 | STATE LICENSE |
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