Polavarapu, Usha

Polavarapu, Usha is an individual health care provider with primary practice located at 1152 Clinton Avenue , Irvington NJ 07111. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Polavarapu, Usha can be contacted via phone (973) 372-5640.

Contact Information

Primary practice address
1152 Clinton Avenue Irvington NJ 07111
Fax: (973) 371-7697
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 19126 New Jersey

Profile Details

NPI number 1891822482
LBN Legal business name Polavarapu, Usha
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2007
Last updated Feb 15th, 2012 - about 13 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 1891822482 NPPES
New Jersey MEDICAID 7421109

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