Sofranko, Kenneth Michael

Sofranko, Kenneth Michael is an sole proprietor health care provider with primary practice located at 928 Brodhead Rd , Moon Township PA 15108-2375. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Sofranko, Kenneth Michael can be contacted via phone (412) 264-2405.

Contact Information

Primary practice address
928 Brodhead Rd Moon Township PA 15108-2375
Phone: (412) 264-2405
Fax: (412) 264-3810
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DS024919L Pennsylvania

Profile Details

NPI number 1023109006
LBN Legal business name Sofranko, Kenneth Michael
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 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 1023109006 NPPES
Pennsylvania MEDICAID 1011753540001

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