Pruden, Stephen Joseph
Pruden, Stephen Joseph is an sole proprietor health care provider with primary practice located at 55 Bryant Ave 2Nd Floor, Roslyn NY 11576-1137. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Pruden, Stephen Joseph can be contacted via phone (516) 626-3965.Contact Information
Primary practice address
55 Bryant Ave 2Nd Floor
Roslyn NY 11576-1137
Phone: (516) 626-3965
Fax: (516) 625-7701
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | X4234-1 | New York |
Profile Details
| NPI number | 1144236019 |
|---|---|
| LBN Legal business name | Pruden, Stephen Joseph |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1144236019 | NPPES |
| New York | Other | X4234-1 | STATE LICENSE |
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