Palmblad, Carl Peter
Palmblad, Carl Peter is an sole proprietor health care provider with primary practice located at 14 N Country Rd , Port Jefferson NY 11777-2116. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Palmblad, Carl Peter can be contacted via phone (631) 473-0052.Contact Information
Primary practice address
14 N Country Rd
Port Jefferson NY 11777-2116
Phone: (631) 473-0052
Fax: (631) 474-9066
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 041184 | New York |
Profile Details
| NPI number | 1407858517 |
|---|---|
| LBN Legal business name | Palmblad, Carl Peter |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1407858517 | NPPES |
| New York | MEDICAID | 01043241 |
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