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
Fax: (631) 474-9066
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407858517 NPPES
New York MEDICAID 01043241

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