Schob, Kenneth Philip
Schob, Kenneth Philip is an individual health care provider with primary practice located at 97-07 63Rd Rd , Rego Park NY 11374. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Schob, Kenneth Philip can be contacted via phone (718) 896-2202.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 040245 | New York |
Profile Details
| NPI number | 1629050968 |
|---|---|
| LBN Legal business name | Schob, Kenneth Philip |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2005 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629050968 | NPPES |
| New York | MEDICAID | 01040959 |
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