Morrill, Kevin Wilson
Morrill, Kevin Wilson is an individual health care provider with primary practice located at 2141 Eastern Pkwy , Schenectady NY 12309-6347. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Morrill, Kevin Wilson can be contacted via phone (518) 372-2859.Contact Information
Primary practice address
2141 Eastern Pkwy
Schenectady NY 12309-6347
Phone: (518) 372-2859
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 044618 | New York |
Profile Details
NPI number | 1639201817 |
---|---|
LBN Legal business name | Morrill, Kevin Wilson |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 12th, 2007 |
Last updated | Jul 8th, 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 | 1639201817 | NPPES |
New York | MEDICAID | 01471952 |
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