Richter, Jonathan Michael

Richter, Jonathan Michael is an sole proprietor health care provider with primary practice located at 310 E Shore Rd Suite 101, Great Neck NY 11023-2432. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Richter, Jonathan Michael can be contacted via phone (516) 282-0310.

Contact Information

Primary practice address
310 E Shore Rd Suite 101 Great Neck NY 11023-2432
Fax: (516) 282-0313
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 042221 New York

Profile Details

NPI number 1215050968
LBN Legal business name Richter, Jonathan Michael
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 9th, 2007
Last updated Dec 21st, 2017 - about 7 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 1215050968 NPPES
New York Other 522421632 TAX ID#

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