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
Phone: (973) 372-5640
Fax: (973) 371-7697
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1891822482 | NPPES |
New Jersey | MEDICAID | 7421109 |
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