Protzel, Peter Evan

Protzel, Peter Evan is an individual health care provider with primary practice located at 4277 Hempstead Tpke Suite 214, Bethpage NY 11714-5709. He recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as his primary health care specialty. Protzel, Peter Evan can be contacted via phone (516) 735-6505.

Contact Information

Primary practice address
4277 Hempstead Tpke Suite 214 Bethpage NY 11714-5709
Phone: (516) 735-6505
Fax: (516) 735-3326
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 047168 New York

Profile Details

NPI number 1700802980
LBN Legal business name Protzel, Peter Evan
Credentials DDS, MD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Jul 8th, 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 1700802980 NPPES
New York MEDICAID 02339499

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