Treadwell, Kenneth

Treadwell, Kenneth is an sole proprietor health care provider with primary practice located at 1387 Clinton Ave , Irvington NJ 07111-1442. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Treadwell, Kenneth can be contacted via phone (973) 372-1441.

Contact Information

Primary practice address
1387 Clinton Ave Irvington NJ 07111-1442
Phone: (973) 372-1441
Fax: (973) 372-6019
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 25MA03828700 New Jersey

Profile Details

NPI number 1659347086
LBN Legal business name Treadwell, Kenneth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 25th, 2006
Last updated Jun 25th, 2010 - about 15 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 1659347086 NPPES
New Jersey MEDICAID 3369803
New Jersey Other 25MA03828700

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