Myshkoff, John

Myshkoff, John is an sole proprietor health care provider with primary practice located at 1700 Myrtle Ave , Plainfield NJ 07063-1000. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Myshkoff, John can be contacted via phone (908) 753-6401.

Contact Information

Primary practice address
1700 Myrtle Ave Plainfield NJ 07063-1000
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 22D101739100 New Jersey

Profile Details

NPI number 1427110832
LBN Legal business name Myshkoff, John
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 14th, 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 1427110832 NPPES
New Jersey MEDICAID 5237203

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