Rodems, Fred
Rodems, Fred is an individual health care provider with primary practice located at 1947 Ridge Rd , West Seneca NY 14224-3339. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Rodems, Fred can be contacted via phone (716) 675-9777.Contact Information
Primary practice address
1947 Ridge Rd
West Seneca NY 14224-3339
Phone: (716) 675-9777
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 36553 | New York |
Profile Details
| NPI number | 1497799647 |
|---|---|
| LBN Legal business name | Rodems, Fred |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Jan 22nd, 2015 - about 9 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 | 1497799647 | NPPES |
| New York | MEDICAID | 00832155 | |
| New York | Other | 00020919401 |
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